Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.09 / $1,017.00 / $4,500.00	Facility		$190.09	$1,017.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $226.96 / $393.42	Professional		$168.24	$226.96	$393.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.96 / $2,574.21 / $4,485.85	Facility		$1,338.96	$2,574.21	$4,485.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.82 / $348.61 / $448.69	Professional		$215.82	$348.61	$448.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $292.70 / $412.54	Professional		$186.69	$292.70	$412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $345.40 / $623.63	Professional		$226.77	$345.40	$623.63
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 $209.43 / $216.57 / $301.29	Professional		$209.43	$216.57	$301.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $347.64	Professional		$32.34	$32.34	$347.64
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 $223.90 / $307.37 / $477.81	Professional		$223.90	$307.37	$477.81