Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,055.00 / $4,634.00	Facility		$349.00	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $215.90 / $400.40	Professional		$161.63	$215.90	$400.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,147.46 / $4,683.89	Facility		$330.07	$2,147.46	$4,683.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $338.88 / $485.20	Professional		$245.08	$338.88	$485.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $295.38 / $433.38	Professional		$192.40	$295.38	$433.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.19 / $361.91 / $571.83	Professional		$254.19	$361.91	$571.83
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 $245.51 / $254.46 / $336.06	Professional		$245.51	$254.46	$336.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $380.01	Professional		$32.34	$32.34	$380.01
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 $178.54 / $252.35 / $490.55	Professional		$178.54	$252.35	$490.55