Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.08 / $1,411.00 / $4,725.00	Facility		$301.08	$1,411.00	$4,725.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $274.69 / $476.87	Professional		$158.88	$274.69	$476.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.85 / $1,767.48 / $3,411.82	Facility		$863.85	$1,767.48	$3,411.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $328.03 / $542.65	Professional		$201.61	$328.03	$542.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $643.00 / $1,300.00	Facility		$283.12	$643.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.72 / $308.60 / $554.51	Professional		$173.72	$308.60	$554.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $448.25 / $805.15	Professional		$223.76	$448.25	$805.15
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 $196.27 / $213.89 / $431.65	Professional		$196.27	$213.89	$431.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.10	Professional		$32.34	$32.34	$488.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,427.00 / $4,636.00	Facility		$1,183.00	$2,427.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $366.66 / $641.42	Professional		$266.06	$366.66	$641.42