Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.58 / $1,289.00 / $4,432.00	Facility		$218.58	$1,289.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $207.06 / $540.59	Professional		$105.89	$207.06	$540.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.52 / $1,775.73 / $2,614.78	Facility		$720.52	$1,775.73	$2,614.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.20 / $212.58 / $347.03	Professional		$125.20	$212.58	$347.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.76 / $480.00 / $1,279.13	Facility		$181.76	$480.00	$1,279.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $214.46 / $382.75	Professional		$115.30	$214.46	$382.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $295.86 / $662.51	Professional		$147.81	$295.86	$662.51
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 $131.40 / $134.59 / $279.54	Professional		$131.40	$134.59	$279.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $316.08	Professional		$32.34	$32.34	$316.08
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 $194.57 / $263.97 / $452.35	Professional		$194.57	$263.97	$452.35