Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.90 / $1,045.00 / $4,151.27	Facility		$245.90	$1,045.00	$4,151.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $255.62 / $476.96	Professional		$132.22	$255.62	$476.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.56 / $1,518.50 / $3,532.48	Facility		$663.56	$1,518.50	$3,532.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $321.33 / $549.66	Professional		$176.45	$321.33	$549.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $277.66 / $534.15	Professional		$151.43	$277.66	$534.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $411.89 / $768.62	Professional		$193.63	$411.89	$768.62
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 $179.80 / $182.90 / $411.85	Professional		$179.80	$182.90	$411.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $475.22	Professional		$32.34	$32.34	$475.22
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $380.27 / $659.68	Professional		$269.07	$380.27	$659.68