Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.66 / $2,118.00 / $5,393.00	Facility		$341.66	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.39 / $203.08 / $341.66	Professional		$180.39	$203.08	$341.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,277.50 / $3,279.57 / $5,442.83	Facility		$1,277.50	$3,279.57	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.90 / $336.83 / $342.24	Professional		$248.90	$336.83	$342.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $709.00 / $2,713.32	Facility		$221.71	$709.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.35 / $279.41 / $410.08	Professional		$196.35	$279.41	$410.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $318.77 / $738.48	Professional		$220.79	$318.77	$738.48
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 $235.05 / $243.78 / $269.06	Professional		$235.05	$243.78	$269.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.25	Professional		$32.34	$32.34	$304.25
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 $185.14 / $255.26 / $417.72	Professional		$185.14	$255.26	$417.72