Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $1,055.00 / $5,091.00	Facility		$278.10	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $195.53 / $330.94	Professional		$172.12	$195.53	$330.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,261.05 / $2,882.80 / $4,831.78	Facility		$1,261.05	$2,882.80	$4,831.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.57 / $335.44 / $437.27	Professional		$208.57	$335.44	$437.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.03 / $275.39 / $371.15	Professional		$196.03	$275.39	$371.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $307.43 / $754.91	Professional		$204.00	$307.43	$754.91
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 $195.03 / $212.67 / $265.20	Professional		$195.03	$212.67	$265.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.00	Professional		$32.34	$32.34	$306.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,581.00 / $6,514.00	Facility		$1,165.00	$3,581.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $275.70 / $485.29	Professional		$194.16	$275.70	$485.29