Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.87 / $1,471.00 / $5,091.00	Facility		$418.87	$1,471.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $293.45 / $508.89	Professional		$216.49	$293.45	$508.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.67 / $2,279.81 / $4,499.13	Facility		$945.67	$2,279.81	$4,499.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $347.72 / $516.85	Professional		$264.81	$347.72	$516.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.13 / $643.00 / $1,300.00	Facility		$385.13	$643.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.42 / $363.05 / $596.99	Professional		$244.42	$363.05	$596.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $440.96 / $979.17	Professional		$291.20	$440.96	$979.17
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 $270.41 / $286.26 / $413.15	Professional		$270.41	$286.26	$413.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $467.18	Professional		$32.34	$32.34	$467.18
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 $274.02 / $375.20 / $651.02	Professional		$274.02	$375.20	$651.02