Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.63 / $1,055.00 / $4,634.00	Facility		$339.63	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $199.48 / $364.26	Professional		$164.12	$199.48	$364.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,991.89 / $4,344.56	Facility		$330.07	$1,991.89	$4,344.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $311.14 / $444.85	Professional		$225.02	$311.14	$444.85
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 $195.23 / $284.88 / $418.63	Professional		$195.23	$284.88	$418.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.31 / $339.07 / $718.04	Professional		$234.31	$339.07	$718.04
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 $231.56 / $236.77 / $304.60	Professional		$231.56	$236.77	$304.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.44	Professional		$32.34	$32.34	$344.44
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 $198.50 / $263.64 / $469.78	Professional		$198.50	$263.64	$469.78