Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $1,411.00 / $5,091.00	Facility		$232.20	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $207.32 / $328.34	Professional		$138.63	$207.32	$328.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.02 / $2,711.97 / $3,969.11	Facility		$1,310.02	$2,711.97	$3,969.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.06 / $290.27 / $398.72	Professional		$177.06	$290.27	$398.72
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 $171.52 / $245.40 / $361.19	Professional		$171.52	$245.40	$361.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $300.19 / $699.78	Professional		$191.23	$300.19	$699.78
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 $168.52 / $177.57 / $268.32	Professional		$168.52	$177.57	$268.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.60	Professional		$32.34	$32.34	$309.60
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 $200.30 / $285.63 / $492.10	Professional		$200.30	$285.63	$492.10