Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.44 / $1,411.00 / $4,634.00	Facility		$281.44	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $253.59 / $432.68	Professional		$151.07	$253.59	$432.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.81 / $2,761.40 / $5,442.83	Facility		$1,058.81	$2,761.40	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $307.94 / $502.71	Professional		$187.78	$307.94	$502.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $643.00 / $2,713.32	Facility		$272.91	$643.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $293.45 / $525.48	Professional		$172.48	$293.45	$525.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $419.82 / $838.33	Professional		$217.55	$419.82	$838.33
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 $197.16 / $202.01 / $404.66	Professional		$197.16	$202.01	$404.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $457.58	Professional		$32.34	$32.34	$457.58
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $356.90 / $614.16	Professional		$256.01	$356.90	$614.16