Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.87 / $1,278.00 / $5,389.00	Facility		$324.87	$1,278.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $282.73 / $487.00	Professional		$189.44	$282.73	$487.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.56 / $1,660.85 / $3,863.65	Facility		$663.56	$1,660.85	$3,863.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.69 / $343.25 / $479.96	Professional		$227.69	$343.25	$479.96
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 $214.41 / $335.05 / $583.86	Professional		$214.41	$335.05	$583.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.54 / $408.84 / $1,316.71	Professional		$267.54	$408.84	$1,316.71
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 $242.20 / $248.43 / $381.52	Professional		$242.20	$248.43	$381.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $440.22	Professional		$32.34	$32.34	$440.22
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 $306.39 / $437.46 / $737.20	Professional		$306.39	$437.46	$737.20