Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,365.00 / $5,405.00	Facility		$349.00	$1,365.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $247.16 / $581.86	Professional		$89.10	$247.16	$581.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $629.36 / $1,140.74 / $2,411.44	Facility		$629.36	$1,140.74	$2,411.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $298.70 / $775.64	Professional		$98.23	$298.70	$775.64
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 $99.78 / $232.13 / $669.02	Professional		$99.78	$232.13	$669.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.01 / $496.88 / $1,821.11	Professional		$115.01	$496.88	$1,821.11
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 $94.08 / $103.12 / $478.60	Professional		$94.08	$103.12	$478.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $541.17	Professional		$32.34	$32.34	$541.17
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $581.74 / $1,058.15	Professional		$424.07	$581.74	$1,058.15