Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.86 / $1,159.00 / $5,091.00	Facility		$348.86	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $302.36 / $528.41	Professional		$189.75	$302.36	$528.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.32 / $3,729.32 / $5,223.47	Facility		$1,640.32	$3,729.32	$5,223.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $418.14 / $641.15	Professional		$258.22	$418.14	$641.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $368.85 / $583.90	Professional		$208.13	$368.85	$583.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $481.43 / $827.02	Professional		$266.64	$481.43	$827.02
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 $246.83 / $266.77 / $459.29	Professional		$246.83	$266.77	$459.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $529.95	Professional		$32.34	$32.34	$529.95
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 $268.91 / $398.87 / $709.45	Professional		$268.91	$398.87	$709.45