Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $1,411.00 / $5,091.00	Facility		$313.61	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $368.40 / $631.27	Professional		$165.30	$368.40	$631.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $1,991.28 / $4,632.31	Facility		$869.72	$1,991.28	$4,632.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.95 / $379.95 / $791.64	Professional		$379.95	$379.95	$791.64
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 $177.70 / $366.91 / $643.75	Professional		$177.70	$366.91	$643.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $497.76 / $1,128.24	Professional		$226.37	$497.76	$1,128.24
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 $194.26 / $208.12 / $479.32	Professional		$194.26	$208.12	$479.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $553.07	Professional		$32.34	$32.34	$553.07
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.99 / $521.17 / $851.65	Professional		$349.99	$521.17	$851.65