Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.16 / $1,696.00 / $7,723.00	Facility		$297.16	$1,696.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $242.79 / $446.53	Professional		$143.08	$242.79	$446.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,372.85 / $3,772.22	Facility		$1,081.08	$2,372.85	$3,772.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $300.50 / $453.48	Professional		$192.70	$300.50	$453.48
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 $186.18 / $284.94 / $453.32	Professional		$186.18	$284.94	$453.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $358.58 / $828.65	Professional		$215.48	$358.58	$828.65
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 $188.06 / $201.89 / $336.75	Professional		$188.06	$201.89	$336.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $388.56	Professional		$32.34	$32.34	$388.56
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.04 / $359.03 / $542.20	Professional		$258.04	$359.03	$542.20