Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.55 / $1,609.00 / $5,549.00	Facility		$255.55	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $255.55 / $408.16	Professional		$214.64	$255.55	$408.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.05 / $2,419.36 / $4,844.76	Facility		$1,131.05	$2,419.36	$4,844.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $302.24 / $353.62	Professional		$252.55	$302.24	$353.62
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 $226.52 / $321.13 / $478.21	Professional		$226.52	$321.13	$478.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $348.43 / $1,019.95	Professional		$224.49	$348.43	$1,019.95
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 $227.21 / $265.30 / $296.05	Professional		$227.21	$265.30	$296.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $334.76	Professional		$32.34	$32.34	$334.76
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 $217.98 / $331.47 / $524.46	Professional		$217.98	$331.47	$524.46