Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.46 / $1,094.00 / $4,634.00	Facility		$254.46	$1,094.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $254.46 / $427.91	Professional		$128.01	$254.46	$427.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.73 / $2,189.11 / $3,223.25	Facility		$852.73	$2,189.11	$3,223.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $304.13 / $496.48	Professional		$151.58	$304.13	$496.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $2,769.00	Facility		$400.00	$908.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $295.00 / $544.05	Professional		$147.47	$295.00	$544.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $418.96 / $1,057.08	Professional		$180.10	$418.96	$1,057.08
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 $156.38 / $165.66 / $397.35	Professional		$156.38	$165.66	$397.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $449.31	Professional		$32.34	$32.34	$449.31
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 $283.95 / $431.65 / $640.58	Professional		$283.95	$431.65	$640.58