Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.12 / $1,272.00 / $5,430.00	Facility		$331.12	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $183.50 / $331.12	Professional		$155.46	$183.50	$331.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $922.71 / $2,011.36 / $4,027.74	Facility		$922.71	$2,011.36	$4,027.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $250.85 / $312.83	Professional		$209.38	$250.85	$312.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $192.58 / $192.58	Facility		$192.58	$192.58	$192.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.88 / $259.08 / $374.65	Professional		$173.88	$259.08	$374.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $298.43 / $677.02	Professional		$192.04	$298.43	$677.02
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 $188.58 / $221.69 / $249.48	Professional		$188.58	$221.69	$249.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.11	Professional		$32.34	$32.34	$282.11
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $231.46 / $400.35	Professional		$172.46	$231.46	$400.35