Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.86 / $1,411.00 / $5,091.00	Facility		$248.86	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $241.97 / $461.76	Professional		$120.69	$241.97	$461.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.97 / $1,373.31 / $3,194.73	Facility		$505.97	$1,373.31	$3,194.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $213.54 / $410.52	Professional		$137.03	$213.54	$410.52
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 $168.17 / $270.77 / $484.50	Professional		$168.17	$270.77	$484.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.25 / $374.40 / $1,091.99	Professional		$188.25	$374.40	$1,091.99
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 $157.05 / $168.78 / $359.92	Professional		$157.05	$168.78	$359.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $415.29	Professional		$32.34	$32.34	$415.29
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 $258.10 / $373.20 / $601.00	Professional		$258.10	$373.20	$601.00