Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.93 / $1,933.00 / $5,393.00	Facility		$376.93	$1,933.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $193.33 / $376.93	Professional		$173.69	$193.33	$376.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,806.97 / $3,921.95 / $7,960.77	Facility		$1,806.97	$3,921.95	$7,960.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.29 / $280.64 / $368.71	Professional		$220.29	$280.64	$368.71
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 $205.32 / $282.62 / $420.25	Professional		$205.32	$282.62	$420.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $324.49 / $910.92	Professional		$209.81	$324.49	$910.92
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 $218.89 / $235.24 / $255.66	Professional		$218.89	$235.24	$255.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.99	Professional		$32.34	$32.34	$294.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $276.48 / $449.00	Professional		$197.49	$276.48	$449.00