Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,159.00 / $4,634.00	Facility		$383.00	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.82 / $322.97 / $600.00	Professional		$260.82	$322.97	$600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $3,334.86 / $7,273.76	Facility		$330.07	$3,334.86	$7,273.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.26 / $521.66 / $703.92	Professional		$377.26	$521.66	$703.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $480.00	Facility		$250.87	$280.07	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $454.69 / $647.20	Professional		$299.98	$454.69	$647.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.15 / $536.54 / $894.35	Professional		$351.15	$536.54	$894.35
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 $377.36 / $392.22 / $486.89	Professional		$377.36	$392.22	$486.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $550.55	Professional		$32.34	$32.34	$550.55
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 $280.31 / $401.90 / $717.65	Professional		$280.31	$401.90	$717.65