Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.70 / $1,411.00 / $5,091.00	Facility		$411.70	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $288.70 / $489.91	Professional		$194.04	$288.70	$489.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.56 / $1,664.67 / $3,872.53	Facility		$663.56	$1,664.67	$3,872.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $345.36 / $491.60	Professional		$229.94	$345.36	$491.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $338.36 / $536.66	Professional		$213.42	$338.36	$536.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $418.32 / $829.43	Professional		$252.19	$418.32	$829.43
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 $243.67 / $249.95 / $391.94	Professional		$243.67	$249.95	$391.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $452.24	Professional		$32.34	$32.34	$452.24
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 $302.45 / $428.20 / $772.45	Professional		$302.45	$428.20	$772.45