Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.14 / $1,017.00 / $4,634.00	Facility		$207.14	$1,017.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $188.74 / $343.28	Professional		$123.79	$188.74	$343.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.29 / $1,099.85 / $2,558.62	Facility		$530.29	$1,099.85	$2,558.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $219.82 / $343.81	Professional		$147.46	$219.82	$343.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $463.00 / $1,000.00	Facility		$213.62	$463.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $223.05 / $375.00	Professional		$141.52	$223.05	$375.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $292.86 / $621.14	Professional		$169.77	$292.86	$621.14
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 $149.46 / $159.09 / $275.87	Professional		$149.46	$159.09	$275.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.95	Professional		$32.34	$32.34	$311.95
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 $186.10 / $254.80 / $433.03	Professional		$186.10	$254.80	$433.03