Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.27 / $1,055.00 / $4,634.00	Facility		$340.27	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $280.86 / $450.09	Professional		$181.27	$280.86	$450.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.52 / $2,118.52 / $3,789.52	Facility		$796.52	$2,118.52	$3,789.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.59 / $319.85 / $491.53	Professional		$215.59	$319.85	$491.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $463.00 / $1,000.00	Facility		$300.00	$463.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $311.33 / $508.12	Professional		$174.39	$311.33	$508.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.92 / $410.75 / $996.04	Professional		$218.92	$410.75	$996.04
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 $231.49 / $233.09 / $395.54	Professional		$231.49	$233.09	$395.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $447.26	Professional		$32.34	$32.34	$447.26
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,465.00 / $4,780.00	Facility		$815.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $331.39 / $628.51	Professional		$228.72	$331.39	$628.51