Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.33 / $1,694.00 / $5,389.00	Facility		$293.33	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $156.51 / $292.83	Professional		$145.11	$156.51	$292.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.50 / $2,396.67 / $3,431.16	Facility		$1,004.50	$2,396.67	$3,431.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $209.16 / $324.38	Professional		$174.58	$209.16	$324.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $785.00 / $2,185.00	Facility		$172.15	$785.00	$2,185.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $220.83 / $328.00	Professional		$159.78	$220.83	$328.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $256.02 / $1,019.35	Professional		$171.16	$256.02	$1,019.35
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 $178.65 / $191.56 / $208.03	Professional		$178.65	$191.56	$208.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $235.23	Professional		$32.34	$32.34	$235.23
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 $152.22 / $228.85 / $347.64	Professional		$152.22	$228.85	$347.64