Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.42 / $1,225.00 / $5,091.00	Facility		$352.42	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $278.67 / $754.61	Professional		$172.13	$278.67	$754.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,511.37 / $3,831.77	Facility		$1,179.36	$2,511.37	$3,831.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.75 / $480.99 / $872.36	Professional		$226.75	$480.99	$872.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $785.00 / $1,681.46	Facility		$315.74	$785.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.05 / $337.55 / $852.98	Professional		$193.05	$337.55	$852.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $624.79 / $943.27	Professional		$258.47	$624.79	$943.27
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 $214.25 / $239.58 / $700.71	Professional		$214.25	$239.58	$700.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $792.34	Professional		$32.34	$32.34	$792.34
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 $179.96 / $257.55 / $541.04	Professional		$179.96	$257.55	$541.04