Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.64 / $1,278.00 / $4,432.00	Facility		$247.64	$1,278.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $382.99 / $682.91	Professional		$125.70	$382.99	$682.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.68 / $2,422.23 / $4,602.53	Facility		$849.68	$2,422.23	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.62 / $432.60 / $725.37	Professional		$150.62	$432.60	$725.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $480.00 / $2,720.17	Facility		$219.22	$480.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $313.11 / $784.69	Professional		$145.38	$313.11	$784.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $578.88 / $1,378.16	Professional		$175.67	$578.88	$1,378.16
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 $153.57 / $163.12 / $573.09	Professional		$153.57	$163.12	$573.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $648.03	Professional		$32.34	$32.34	$648.03
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 $408.35 / $573.24 / $946.25	Professional		$408.35	$573.24	$946.25