Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.27 / $1,411.00 / $5,091.00	Facility		$224.27	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $205.94 / $375.00	Professional		$108.61	$205.94	$375.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.24 / $2,674.53 / $6,264.66	Facility		$1,232.24	$2,674.53	$6,264.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.58 / $250.50 / $386.97	Professional		$210.58	$250.50	$386.97
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 $136.10 / $227.13 / $394.18	Professional		$136.10	$227.13	$394.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $310.02 / $705.75	Professional		$164.75	$310.02	$705.75
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 $143.38 / $152.97 / $287.89	Professional		$143.38	$152.97	$287.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.18	Professional		$32.34	$32.34	$332.18
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,465.00 / $5,026.00	Facility		$897.00	$2,465.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.55 / $281.27 / $459.27	Professional		$212.55	$281.27	$459.27