Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.04 / $2,784.00 / $7,123.00	Facility		$395.04	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.85 / $209.14 / $396.39	Professional		$184.85	$209.14	$396.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.48 / $2,477.78 / $4,547.47	Facility		$1,200.48	$2,477.78	$4,547.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $316.19 / $406.51	Professional		$248.18	$316.19	$406.51
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 $225.41 / $318.35 / $426.59	Professional		$225.41	$318.35	$426.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.40 / $354.51 / $1,930.51	Professional		$239.40	$354.51	$1,930.51
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 $231.50 / $259.35 / $288.04	Professional		$231.50	$259.35	$288.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $332.36	Professional		$32.34	$32.34	$332.36
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $340.40 / $543.29	Professional		$202.97	$340.40	$543.29