Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.36 / $1,129.00 / $4,634.00	Facility		$351.36	$1,129.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.63 / $351.36 / $860.70	Professional		$176.63	$351.36	$860.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.27 / $1,795.37 / $3,543.09	Facility		$1,155.27	$1,795.37	$3,543.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $538.11 / $902.27	Professional		$207.90	$538.11	$902.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.91 / $785.00 / $1,647.10	Facility		$307.91	$785.00	$1,647.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.09 / $470.97 / $954.84	Professional		$200.09	$470.97	$954.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $744.03 / $1,958.13	Professional		$247.73	$744.03	$1,958.13
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 $214.08 / $227.89 / $709.31	Professional		$214.08	$227.89	$709.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $802.06	Professional		$32.34	$32.34	$802.06
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 $551.37 / $809.27 / $1,317.68	Professional		$551.37	$809.27	$1,317.68