Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,159.00 / $4,634.00	Facility		$383.00	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $321.04 / $555.17	Professional		$215.55	$321.04	$555.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $2,207.34 / $4,260.89	Facility		$897.18	$2,207.34	$4,260.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $368.63 / $551.49	Professional		$254.59	$368.63	$551.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,279.13	Facility		$300.00	$480.00	$1,279.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.97 / $373.40 / $656.44	Professional		$248.97	$373.40	$656.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $469.76 / $1,303.91	Professional		$292.70	$469.76	$1,303.91
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 $271.80 / $278.33 / $438.01	Professional		$271.80	$278.33	$438.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $495.29	Professional		$32.34	$32.34	$495.29
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.55 / $455.68 / $753.81	Professional		$328.55	$455.68	$753.81