Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $1,835.00 / $6,861.44	Facility		$226.59	$1,835.00	$6,861.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.96 / $278.95 / $481.97	Professional		$131.96	$278.95	$481.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,711.97 / $3,968.80	Facility		$1,310.02	$2,711.97	$3,968.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $305.11 / $622.27	Professional		$161.25	$305.11	$622.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $291.02 / $506.03	Professional		$146.80	$291.02	$506.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $393.29 / $1,062.66	Professional		$186.41	$393.29	$1,062.66
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 $156.82 / $167.13 / $376.62	Professional		$156.82	$167.13	$376.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $434.57	Professional		$32.34	$32.34	$434.57
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.79 / $428.33 / $634.35	Professional		$290.79	$428.33	$634.35