Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.19 / $2,157.00 / $5,405.00	Facility		$449.19	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.93 / $290.63 / $467.16	Professional		$236.93	$290.63	$467.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,168.19 / $4,414.43 / $7,321.62	Facility		$2,168.19	$4,414.43	$7,321.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.99 / $538.34 / $552.29	Professional		$300.99	$538.34	$552.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.94 / $367.00 / $514.23	Professional		$256.94	$367.00	$514.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.94 / $385.41 / $1,357.61	Professional		$256.94	$385.41	$1,357.61
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 $264.88 / $303.64 / $340.78	Professional		$264.88	$303.64	$340.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.35	Professional		$32.34	$32.34	$385.35
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.43 / $379.89 / $587.86	Professional		$252.43	$379.89	$587.86