Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.75 / $1,207.00 / $4,634.00	Facility		$202.75	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $206.46 / $331.76	Professional		$102.74	$206.46	$331.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.13 / $1,536.37 / $2,230.89	Facility		$730.13	$1,536.37	$2,230.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $233.81 / $386.96	Professional		$130.38	$233.81	$386.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $219.17 / $407.10	Professional		$116.00	$219.17	$407.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $317.54 / $746.12	Professional		$145.80	$317.54	$746.12
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 $120.67 / $138.07 / $308.06	Professional		$120.67	$138.07	$308.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.35	Professional		$32.34	$32.34	$348.35
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 $198.51 / $285.85 / $461.54	Professional		$198.51	$285.85	$461.54