Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.92 / $1,169.00 / $4,634.00	Facility		$245.92	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $164.31 / $281.27	Professional		$121.04	$164.31	$281.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,337.64 / $2,202.15 / $3,111.75	Facility		$1,337.64	$2,202.15	$3,111.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $213.91 / $342.27	Professional		$154.69	$213.91	$342.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.25 / $214.06 / $327.39	Professional		$143.25	$214.06	$327.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $260.88 / $654.84	Professional		$177.46	$260.88	$654.84
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 $158.99 / $164.79 / $232.45	Professional		$158.99	$164.79	$232.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.85	Professional		$32.34	$32.34	$262.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.30 / $213.39 / $378.92	Professional		$161.30	$213.39	$378.92