Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $1,055.00 / $4,634.00	Facility		$316.64	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $178.61 / $329.56	Professional		$160.13	$178.61	$329.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,843.47 / $4,020.85	Facility		$330.07	$1,843.47	$4,020.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.61 / $287.08 / $395.30	Professional		$207.61	$287.08	$395.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.40 / $235.40 / $262.80	Facility		$235.40	$235.40	$262.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $267.20 / $390.52	Professional		$184.60	$267.20	$390.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.71 / $310.73 / $601.62	Professional		$216.71	$310.73	$601.62
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $221.42 / $267.20	Professional		$220.27	$221.42	$267.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $302.14	Professional		$32.34	$32.34	$302.14
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $250.99 / $417.91	Professional		$181.25	$250.99	$417.91