Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $1,055.00 / $4,634.00	Facility		$383.00	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $328.19 / $575.77	Professional		$216.81	$328.19	$575.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.79 / $2,258.40 / $4,456.88	Facility		$936.79	$2,258.40	$4,456.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.75 / $315.08 / $482.91	Professional		$263.75	$315.08	$482.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.60 / $436.17 / $908.00	Facility		$377.60	$436.17	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $376.06 / $636.48	Professional		$248.30	$376.06	$636.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $283.07 / $492.39 / $731.56	Professional		$283.07	$492.39	$731.56
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 $262.85 / $282.69 / $480.30	Professional		$262.85	$282.69	$480.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.11	Professional		$32.34	$32.34	$543.11
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 $315.38 / $425.08 / $839.02	Professional		$315.38	$425.08	$839.02