Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.13 / $1,892.00 / $8,034.25	Facility		$259.13	$1,892.00	$8,034.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $300.91 / $520.03	Professional		$152.56	$300.91	$520.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,807.47 / $4,275.35	Facility		$1,310.02	$2,807.47	$4,275.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.25 / $348.68 / $673.55	Professional		$184.25	$348.68	$673.55
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 $166.15 / $325.52 / $547.88	Professional		$166.15	$325.52	$547.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.22 / $430.03 / $1,247.11	Professional		$211.22	$430.03	$1,247.11
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 $178.72 / $191.00 / $407.28	Professional		$178.72	$191.00	$407.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $469.94	Professional		$32.34	$32.34	$469.94
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $472.73 / $855.09	Professional		$319.10	$472.73	$855.09