Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $1,471.00 / $5,389.00	Facility		$276.14	$1,471.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $267.48 / $486.20	Professional		$142.22	$267.48	$486.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,520.16 / $3,299.44 / $6,264.66	Facility		$1,520.16	$3,299.44	$6,264.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $351.94 / $507.37	Professional		$179.75	$351.94	$507.37
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 $185.77 / $300.00 / $541.42	Professional		$185.77	$300.00	$541.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $420.80 / $1,383.42	Professional		$210.00	$420.80	$1,383.42
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 $175.60 / $188.28 / $404.46	Professional		$175.60	$188.28	$404.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $423.12	Professional		$32.34	$32.34	$423.12
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 $294.18 / $401.01 / $686.47	Professional		$294.18	$401.01	$686.47