Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.10 / $1,808.81 / $5,389.00	Facility		$369.10	$1,808.81	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $240.49 / $425.80	Professional		$207.03	$240.49	$425.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,467.38 / $3,096.34 / $5,622.37	Facility		$1,467.38	$3,096.34	$5,622.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.14 / $404.18 / $443.02	Professional		$271.14	$404.18	$443.02
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 $231.40 / $315.31 / $439.71	Professional		$231.40	$315.31	$439.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.01 / $365.44 / $867.38	Professional		$251.01	$365.44	$867.38
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 $254.15 / $271.01 / $296.92	Professional		$254.15	$271.01	$296.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $342.60	Professional		$32.34	$32.34	$342.60
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 $223.68 / $316.02 / $575.75	Professional		$223.68	$316.02	$575.75