Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $1,272.00 / $4,961.00	Facility		$273.70	$1,272.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $248.82 / $452.00	Professional		$163.25	$248.82	$452.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.43 / $869.52 / $3,276.09	Facility		$401.43	$869.52	$3,276.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.32 / $337.30 / $565.74	Professional		$218.32	$337.30	$565.74
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 $190.82 / $302.87 / $509.37	Professional		$190.82	$302.87	$509.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $236.22 / $412.35 / $1,171.09	Professional		$236.22	$412.35	$1,171.09
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 $210.61 / $227.25 / $391.47	Professional		$210.61	$227.25	$391.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $442.66	Professional		$32.34	$32.34	$442.66
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 $249.89 / $336.85 / $579.08	Professional		$249.89	$336.85	$579.08