Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.32 / $1,568.00 / $5,389.00	Facility		$345.32	$1,568.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $214.65 / $370.27	Professional		$186.34	$214.65	$370.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,244.64 / $4,277.93 / $6,201.91	Facility		$2,244.64	$4,277.93	$6,201.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $364.61 / $486.15	Professional		$226.71	$364.61	$486.15
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 $216.22 / $302.44 / $425.66	Professional		$216.22	$302.44	$425.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $340.26 / $862.00	Professional		$225.31	$340.26	$862.00
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 $221.17 / $234.46 / $291.24	Professional		$221.17	$234.46	$291.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $336.05	Professional		$32.34	$32.34	$336.05
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 $218.33 / $308.73 / $517.95	Professional		$218.33	$308.73	$517.95