Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.70 / $1,411.00 / $5,091.00	Facility		$370.70	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $341.23 / $514.61	Professional		$196.14	$341.23	$514.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $2,362.71 / $5,496.41	Facility		$869.72	$2,362.71	$5,496.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.44 / $453.31 / $739.67	Professional		$240.44	$453.31	$739.67
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 $212.27 / $378.19 / $593.17	Professional		$212.27	$378.19	$593.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.39 / $483.06 / $1,006.91	Professional		$267.39	$483.06	$1,006.91
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 $229.57 / $248.30 / $446.95	Professional		$229.57	$248.30	$446.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $515.72	Professional		$32.34	$32.34	$515.72
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 $313.29 / $446.68 / $761.80	Professional		$313.29	$446.68	$761.80