Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.17 / $2,824.00 / $7,407.00	Facility		$328.17	$2,824.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $205.65 / $333.24	Professional		$173.40	$205.65	$333.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,499.15 / $3,438.81 / $14,062.09	Facility		$1,499.15	$3,438.81	$14,062.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.97 / $241.68 / $284.07	Professional		$203.97	$241.68	$284.07
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 $181.97 / $258.35 / $440.16	Professional		$181.97	$258.35	$440.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.15 / $286.89 / $914.98	Professional		$181.15	$286.89	$914.98
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 $186.56 / $213.12 / $236.73	Professional		$186.56	$213.12	$236.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $267.69	Professional		$32.34	$32.34	$267.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $271.10 / $425.48	Professional		$176.84	$271.10	$425.48