Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.30 / $1,609.00 / $5,549.00	Facility		$226.30	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $226.30 / $360.68	Professional		$190.06	$226.30	$360.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.60 / $2,142.48 / $4,290.31	Facility		$1,001.60	$2,142.48	$4,290.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $269.33 / $269.33	Professional		$269.33	$269.33	$269.33
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 $201.55 / $284.12 / $449.94	Professional		$201.55	$284.12	$449.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $317.77 / $967.47	Professional		$199.74	$317.77	$967.47
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 $202.33 / $236.05 / $263.82	Professional		$202.33	$236.05	$263.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $298.32	Professional		$32.34	$32.34	$298.32
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $292.12 / $465.42	Professional		$193.44	$292.12	$465.42