Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.14 / $1,129.00 / $5,389.00	Facility		$279.14	$1,129.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $433.55 / $736.62	Professional		$148.90	$433.55	$736.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.23 / $2,451.84 / $4,909.80	Facility		$1,146.23	$2,451.84	$4,909.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.19 / $450.64 / $921.58	Professional		$181.19	$450.64	$921.58
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 $173.58 / $387.03 / $841.39	Professional		$173.58	$387.03	$841.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $588.72 / $1,571.60	Professional		$203.03	$588.72	$1,571.60
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 $163.80 / $186.16 / $568.65	Professional		$163.80	$186.16	$568.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $643.01	Professional		$32.34	$32.34	$643.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $863.72 / $1,355.20	Professional		$550.00	$863.72	$1,355.20