Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $1,365.00 / $5,091.00	Facility		$322.14	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $193.63 / $302.08	Professional		$116.33	$193.63	$302.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.77 / $2,096.92 / $4,878.07	Facility		$578.77	$2,096.92	$4,878.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $350.96 / $428.23	Professional		$196.01	$350.96	$428.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $461.10 / $480.00	Facility		$193.75	$461.10	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $215.09 / $366.15	Professional		$136.21	$215.09	$366.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $264.60 / $1,411.96	Professional		$163.90	$264.60	$1,411.96
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 $201.08 / $208.86 / $221.92	Professional		$201.08	$208.86	$221.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.94	Professional		$32.34	$32.34	$250.94
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $891.00 / $3,357.00	Facility		$210.00	$891.00	$3,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $189.21 / $376.43	Professional		$129.21	$189.21	$376.43