Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $1,017.00 / $4,634.00	Facility		$270.31	$1,017.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $220.79 / $386.48	Professional		$138.71	$220.79	$386.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.19 / $2,404.73 / $5,442.83	Facility		$593.19	$2,404.73	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.12 / $244.92 / $386.22	Professional		$178.12	$244.92	$386.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $300.00 / $1,000.00	Facility		$235.34	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $248.59 / $433.50	Professional		$161.18	$248.59	$433.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.48 / $319.42 / $667.82	Professional		$185.48	$319.42	$667.82
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 $168.18 / $173.78 / $296.61	Professional		$168.18	$173.78	$296.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $335.40	Professional		$32.34	$32.34	$335.40
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 $227.02 / $315.45 / $506.24	Professional		$227.02	$315.45	$506.24