Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.73 / $1,159.00 / $4,634.00	Facility		$263.73	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $224.75 / $392.84	Professional		$157.52	$224.75	$392.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,097.35 / $2,817.11 / $5,442.83	Facility		$1,097.35	$2,817.11	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.55 / $265.51 / $394.05	Professional		$194.55	$265.51	$394.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $643.00 / $2,713.32	Facility		$282.58	$643.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $279.08 / $435.39	Professional		$184.17	$279.08	$435.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $344.98 / $807.70	Professional		$216.49	$344.98	$807.70
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 $199.07 / $210.03 / $315.47	Professional		$199.07	$210.03	$315.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $356.72	Professional		$32.34	$32.34	$356.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $308.83 / $496.77	Professional		$223.65	$308.83	$496.77