Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.53 / $1,411.00 / $4,634.00	Facility		$344.53	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $292.80 / $504.95	Professional		$177.90	$292.80	$504.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $982.38 / $3,711.52	Facility		$277.55	$982.38	$3,711.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $320.62 / $518.27	Professional		$217.95	$320.62	$518.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.21 / $400.00 / $1,300.00	Facility		$213.21	$400.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $320.27 / $547.46	Professional		$194.11	$320.27	$547.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $432.81 / $1,028.64	Professional		$233.73	$432.81	$1,028.64
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 $215.19 / $232.05 / $419.42	Professional		$215.19	$232.05	$419.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $474.27	Professional		$32.34	$32.34	$474.27
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $367.51 / $683.51	Professional		$250.16	$367.51	$683.51