Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.61 / $1,933.00 / $5,393.00	Facility		$389.61	$1,933.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $217.83 / $389.61	Professional		$177.68	$217.83	$389.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,957.15 / $4,489.38 / $11,762.27	Facility		$1,957.15	$4,489.38	$11,762.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.24 / $330.48 / $367.89	Professional		$229.24	$330.48	$367.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.87 / $304.20 / $480.13	Professional		$214.87	$304.20	$480.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $334.37 / $974.31	Professional		$222.92	$334.37	$974.31
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 $234.56 / $247.17 / $263.45	Professional		$234.56	$247.17	$263.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $303.98	Professional		$32.34	$32.34	$303.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $339.45 / $478.56	Professional		$217.01	$339.45	$478.56