Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.35 / $1,272.00 / $5,430.00	Facility		$409.35	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $219.23 / $405.60	Professional		$198.40	$219.23	$405.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.03 / $2,330.32 / $4,666.46	Facility		$1,069.03	$2,330.32	$4,666.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $289.70 / $373.82	Professional		$241.80	$289.70	$373.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $587.00 / $908.00	Facility		$238.55	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.98 / $303.75 / $477.60	Professional		$219.98	$303.75	$477.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $346.41 / $1,007.88	Professional		$237.24	$346.41	$1,007.88
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 $248.00 / $264.89 / $288.13	Professional		$248.00	$264.89	$288.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.81	Professional		$32.34	$32.34	$325.81
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.17 / $304.98 / $483.11	Professional		$210.17	$304.98	$483.11