Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $1,229.01 / $5,091.00	Facility		$292.39	$1,229.01	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $446.57 / $867.62	Professional		$140.41	$446.57	$867.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.00 / $2,196.80 / $4,399.09	Facility		$1,027.00	$2,196.80	$4,399.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.45 / $500.34 / $942.15	Professional		$169.45	$500.34	$942.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $399.30 / $841.40	Professional		$177.00	$399.30	$841.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.43 / $657.03 / $1,635.32	Professional		$197.43	$657.03	$1,635.32
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 $160.85 / $177.01 / $625.04	Professional		$160.85	$177.01	$625.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $721.20	Professional		$32.34	$32.34	$721.20
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $807.25 / $1,381.01	Professional		$571.79	$807.25	$1,381.01