Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.14 / $1,055.00 / $4,634.00	Facility		$297.14	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $225.11 / $404.35	Professional		$145.61	$225.11	$404.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.83 / $786.55 / $2,928.53	Facility		$379.83	$786.55	$2,928.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $304.55 / $511.00	Professional		$194.10	$304.55	$511.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $277.33 / $309.61	Facility		$277.33	$277.33	$309.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $276.68 / $468.98	Professional		$169.82	$276.68	$468.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $372.43 / $837.72	Professional		$209.90	$372.43	$837.72
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 $188.19 / $202.18 / $353.47	Professional		$188.19	$202.18	$353.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $399.69	Professional		$32.34	$32.34	$399.69
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 $220.61 / $298.72 / $528.21	Professional		$220.61	$298.72	$528.21