Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.23 / $1,289.00 / $5,091.00	Facility		$441.23	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.51 / $248.97 / $436.73	Professional		$214.51	$248.97	$436.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.58 / $2,114.05 / $4,436.82	Facility		$932.58	$2,114.05	$4,436.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $311.94 / $402.79	Professional		$260.37	$311.94	$402.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $785.00 / $1,231.60	Facility		$257.64	$785.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.78 / $323.88 / $475.07	Professional		$224.78	$323.88	$475.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.86 / $373.25 / $1,223.99	Professional		$255.86	$373.25	$1,223.99
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 $267.50 / $285.43 / $310.25	Professional		$267.50	$285.43	$310.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $350.82	Professional		$32.34	$32.34	$350.82
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 $231.74 / $350.10 / $522.97	Professional		$231.74	$350.10	$522.97