Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.69 / $2,897.14 / $9,630.20	Facility		$286.69	$2,897.14	$9,630.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.49 / $293.07 / $559.98	Professional		$152.49	$293.07	$559.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,799.94 / $4,263.89	Facility		$1,310.02	$2,799.94	$4,263.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.82 / $356.33 / $664.51	Professional		$183.82	$356.33	$664.51
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 $164.47 / $307.50 / $537.39	Professional		$164.47	$307.50	$537.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.77 / $421.30 / $951.87	Professional		$207.77	$421.30	$951.87
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 $177.76 / $190.65 / $401.64	Professional		$177.76	$190.65	$401.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $463.43	Professional		$32.34	$32.34	$463.43
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 $282.89 / $396.52 / $691.71	Professional		$282.89	$396.52	$691.71