Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.62 / $1,694.00 / $5,389.00	Facility		$363.62	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $220.67 / $379.22	Professional		$175.01	$220.67	$379.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,982.65 / $4,303.26 / $6,264.66	Facility		$1,982.65	$4,303.26	$6,264.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $339.18 / $339.18	Professional		$339.18	$339.18	$339.18
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 $210.47 / $284.42 / $430.41	Professional		$210.47	$284.42	$430.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $332.78 / $862.03	Professional		$227.66	$332.78	$862.03
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 $228.84 / $246.49 / $270.39	Professional		$228.84	$246.49	$270.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.99	Professional		$32.34	$32.34	$311.99
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.86 / $286.23 / $454.25	Professional		$202.86	$286.23	$454.25