Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.39 / $1,159.00 / $4,634.00	Facility		$321.39	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $246.24 / $374.92	Professional		$169.51	$246.24	$374.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.67 / $987.38 / $3,563.02	Facility		$608.67	$987.38	$3,563.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.28 / $292.99 / $434.58	Professional		$208.28	$292.99	$434.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $468.97 / $1,000.00	Facility		$300.00	$468.97	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $294.58 / $484.84	Professional		$194.96	$294.58	$484.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $370.18 / $941.71	Professional		$224.80	$370.18	$941.71
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 $214.45 / $224.80 / $348.14	Professional		$214.45	$224.80	$348.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $393.67	Professional		$32.34	$32.34	$393.67
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $336.04 / $554.28	Professional		$241.08	$336.04	$554.28