Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.29 / $1,411.00 / $5,091.00	Facility		$349.29	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $233.15 / $391.56	Professional		$193.21	$233.15	$391.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.08 / $2,999.97 / $5,414.30	Facility		$1,413.08	$2,999.97	$5,414.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $439.88 / $524.60	Professional		$234.61	$439.88	$524.60
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 $219.45 / $317.33 / $433.35	Professional		$219.45	$317.33	$433.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.14 / $353.66 / $900.63	Professional		$243.14	$353.66	$900.63
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 $223.69 / $240.94 / $316.50	Professional		$223.69	$240.94	$316.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $365.19	Professional		$32.34	$32.34	$365.19
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.84 / $336.51 / $498.20	Professional		$232.84	$336.51	$498.20