Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.72 / $1,278.00 / $5,389.00	Facility		$305.72	$1,278.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $371.73 / $654.19	Professional		$163.66	$371.73	$654.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.98 / $2,818.74 / $4,586.31	Facility		$1,196.98	$2,818.74	$4,586.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.81 / $373.13 / $766.61	Professional		$197.81	$373.13	$766.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $350.84 / $635.53	Professional		$174.51	$350.84	$635.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $482.30 / $1,494.03	Professional		$222.96	$482.30	$1,494.03
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 $189.55 / $204.39 / $464.72	Professional		$189.55	$204.39	$464.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $536.22	Professional		$32.34	$32.34	$536.22
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,963.00 / $4,681.00	Facility		$553.00	$1,963.00	$4,681.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.93 / $581.89 / $881.91	Professional		$391.93	$581.89	$881.91