Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.98 / $1,363.00 / $5,091.00	Facility		$398.98	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $227.00 / $398.98	Professional		$194.75	$227.00	$398.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.72 / $1,682.17 / $4,394.71	Facility		$923.72	$1,682.17	$4,394.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $309.79 / $386.91	Professional		$258.58	$309.79	$386.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $480.00 / $1,000.00	Facility		$240.68	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $308.11 / $447.86	Professional		$167.54	$308.11	$447.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $348.00 / $1,026.72	Professional		$221.60	$348.00	$1,026.72
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 $245.77 / $274.18 / $308.11	Professional		$245.77	$274.18	$308.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.40	Professional		$32.34	$32.34	$348.40
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $274.58 / $491.65	Professional		$199.43	$274.58	$491.65