Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.42 / $1,603.00 / $5,389.00	Facility		$304.42	$1,603.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.61 / $213.16 / $361.68	Professional		$153.61	$213.16	$361.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.81 / $3,158.76 / $9,928.21	Facility		$1,033.81	$3,158.76	$9,928.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.07 / $275.48 / $379.58	Professional		$200.07	$275.48	$379.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.70 / $709.00 / $5,676.58	Facility		$270.70	$709.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.03 / $253.06 / $407.20	Professional		$163.03	$253.06	$407.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $317.70 / $793.21	Professional		$186.89	$317.70	$793.21
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 $195.23 / $199.38 / $297.39	Professional		$195.23	$199.38	$297.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $336.28	Professional		$32.34	$32.34	$336.28
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 $190.08 / $264.87 / $487.53	Professional		$190.08	$264.87	$487.53