Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.51 / $1,055.00 / $5,091.00	Facility		$303.51	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $228.22 / $395.71	Professional		$158.22	$228.22	$395.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.54 / $2,783.16 / $5,442.83	Facility		$686.54	$2,783.16	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $263.80 / $392.23	Professional		$191.03	$263.80	$392.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.35 / $400.00 / $908.00	Facility		$248.35	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $270.63 / $450.00	Professional		$170.74	$270.63	$450.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $334.54 / $735.69	Professional		$200.79	$334.54	$735.69
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 $198.21 / $206.79 / $313.44	Professional		$198.21	$206.79	$313.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $354.43	Professional		$32.34	$32.34	$354.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,435.00 / $4,636.00	Facility		$1,000.00	$2,435.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $310.17 / $501.42	Professional		$222.02	$310.17	$501.42