Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.72 / $1,835.00 / $5,389.00	Facility		$333.72	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.82 / $183.79 / $333.72	Professional		$149.82	$183.79	$333.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,372.85 / $3,841.44	Facility		$1,081.08	$2,372.85	$3,841.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $280.49 / $324.45	Professional		$194.56	$280.49	$324.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $7,701.00 / $11,011.00	Facility		$620.00	$7,701.00	$11,011.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.94 / $241.64 / $364.44	Professional		$180.94	$241.64	$364.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.20 / $281.91 / $860.22	Professional		$189.20	$281.91	$860.22
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 $199.34 / $209.42 / $223.60	Professional		$199.34	$209.42	$223.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.92	Professional		$32.34	$32.34	$233.92
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,664.00 / $5,026.00	Facility		$749.00	$2,664.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.33 / $259.81 / $459.03	Professional		$182.33	$259.81	$459.03