Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.39 / $4,038.00 / $9,485.00	Facility		$342.39	$4,038.00	$9,485.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $231.75 / $413.58	Professional		$188.02	$231.75	$413.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.18 / $2,908.83 / $5,203.93	Facility		$1,358.18	$2,908.83	$5,203.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.76 / $369.32 / $407.24	Professional		$247.76	$369.32	$407.24
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 $212.71 / $281.75 / $409.89	Professional		$212.71	$281.75	$409.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.58 / $335.35 / $878.73	Professional		$229.58	$335.35	$878.73
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 $235.72 / $249.12 / $271.32	Professional		$235.72	$249.12	$271.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $313.07	Professional		$32.34	$32.34	$313.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $281.88 / $460.45	Professional		$205.94	$281.88	$460.45