Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.61 / $1,207.00 / $5,389.00	Facility		$218.61	$1,207.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $206.33 / $367.11	Professional		$128.04	$206.33	$367.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.74 / $2,252.92 / $5,442.83	Facility		$555.74	$2,252.92	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $231.88 / $359.05	Professional		$155.22	$231.88	$359.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.85 / $400.00 / $1,300.00	Facility		$226.85	$400.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $236.10 / $410.93	Professional		$148.97	$236.10	$410.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $309.81 / $652.09	Professional		$177.03	$309.81	$652.09
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 $162.25 / $167.83 / $287.68	Professional		$162.25	$167.83	$287.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.30	Professional		$32.34	$32.34	$325.30
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,685.00 / $5,407.00	Facility		$815.00	$2,685.00	$5,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.89 / $283.88 / $495.57	Professional		$203.89	$283.88	$495.57