Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.46 / $1,159.00 / $5,091.00	Facility		$254.46	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $311.47 / $597.73	Professional		$121.29	$311.47	$597.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $1,376.32 / $3,201.75	Facility		$302.58	$1,376.32	$3,201.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $370.98 / $670.00	Professional		$162.44	$370.98	$670.00
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 $165.15 / $296.70 / $621.19	Professional		$165.15	$296.70	$621.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $500.88 / $870.35	Professional		$186.89	$500.88	$870.35
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 $152.46 / $169.42 / $501.58	Professional		$152.46	$169.42	$501.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $578.75	Professional		$32.34	$32.34	$578.75
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 $307.36 / $430.77 / $802.07	Professional		$307.36	$430.77	$802.07