Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.56 / $1,055.00 / $5,389.00	Facility		$241.56	$1,055.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $211.61 / $371.68	Professional		$125.68	$211.61	$371.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.90 / $2,184.65 / $5,442.83	Facility		$538.90	$2,184.65	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $229.43 / $374.54	Professional		$148.43	$229.43	$374.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $317.22 / $1,000.00	Facility		$216.48	$317.22	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $230.04 / $411.71	Professional		$136.83	$230.04	$411.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $319.04 / $634.87	Professional		$172.58	$319.04	$634.87
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 $155.04 / $160.25 / $300.69	Professional		$155.04	$160.25	$300.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $340.01	Professional		$32.34	$32.34	$340.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,704.51 / $4,636.00	Facility		$1,000.00	$2,704.51	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $278.93 / $478.95	Professional		$204.30	$278.93	$478.95