Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.04 / $1,159.00 / $4,634.00	Facility		$405.04	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $372.74 / $632.52	Professional		$203.21	$372.74	$632.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.32 / $1,682.17 / $4,078.76	Facility		$857.32	$1,682.17	$4,078.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.67 / $407.08 / $580.17	Professional		$239.67	$407.08	$580.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,000.00	Facility		$300.00	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $413.00 / $770.12	Professional		$236.00	$413.00	$770.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $282.60 / $569.27 / $1,466.90	Professional		$282.60	$569.27	$1,466.90
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 $245.51 / $262.42 / $533.79	Professional		$245.51	$262.42	$533.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $603.60	Professional		$32.34	$32.34	$603.60
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 $391.75 / $589.97 / $922.42	Professional		$391.75	$589.97	$922.42