Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.75 / $1,609.00 / $6,374.01	Facility		$239.75	$1,609.00	$6,374.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $373.13 / $663.52	Professional		$140.79	$373.13	$663.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,711.97 / $3,971.86	Facility		$1,310.02	$2,711.97	$3,971.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $374.75 / $771.15	Professional		$170.26	$374.75	$771.15
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 $151.09 / $318.06 / $639.74	Professional		$151.09	$318.06	$639.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $485.19 / $1,598.84	Professional		$197.37	$485.19	$1,598.84
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 $166.21 / $176.96 / $467.22	Professional		$166.21	$176.96	$467.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $539.10	Professional		$32.34	$32.34	$539.10
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 $384.73 / $571.17 / $898.34	Professional		$384.73	$571.17	$898.34