Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.89 / $1,207.00 / $4,634.00	Facility		$308.89	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $343.69 / $584.96	Professional		$153.74	$343.69	$584.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.70 / $2,440.09 / $3,460.55	Facility		$1,022.70	$2,440.09	$3,460.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.36 / $414.98 / $677.44	Professional		$182.36	$414.98	$677.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $358.20 / $743.74	Professional		$183.34	$358.20	$743.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $559.89 / $1,205.68	Professional		$214.55	$559.89	$1,205.68
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 $187.27 / $199.23 / $543.17	Professional		$187.27	$199.23	$543.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $614.21	Professional		$32.34	$32.34	$614.21
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 $377.19 / $526.58 / $915.51	Professional		$377.19	$526.58	$915.51