Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.42 / $1,363.00 / $5,091.00	Facility		$332.42	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $190.55 / $332.42	Professional		$152.09	$190.55	$332.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,224.41 / $3,143.28 / $4,659.71	Facility		$1,224.41	$3,143.28	$4,659.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.03 / $263.61 / $329.01	Professional		$220.03	$263.61	$329.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $480.00 / $2,720.17	Facility		$205.33	$480.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $269.01 / $383.18	Professional		$166.57	$269.01	$383.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $313.85 / $598.60	Professional		$207.81	$313.85	$598.60
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 $209.96 / $233.14 / $262.17	Professional		$209.96	$233.14	$262.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $296.45	Professional		$32.34	$32.34	$296.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $226.78 / $411.01	Professional		$167.48	$226.78	$411.01