Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.13 / $2,414.00 / $7,669.86	Facility		$360.13	$2,414.00	$7,669.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.67 / $234.06 / $384.48	Professional		$183.67	$234.06	$384.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.11 / $4,008.03 / $5,814.70	Facility		$1,903.11	$4,008.03	$5,814.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.21 / $349.18 / $374.63	Professional		$242.21	$349.18	$374.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $289.06 / $433.73	Professional		$185.90	$289.06	$433.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $334.98 / $722.58	Professional		$212.97	$334.98	$722.58
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 $246.31 / $251.69 / $278.36	Professional		$246.31	$251.69	$278.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $321.18	Professional		$32.34	$32.34	$321.18
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,704.51 / $4,780.00	Facility		$815.00	$2,704.51	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.91 / $298.48 / $466.28	Professional		$207.91	$298.48	$466.28