Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.64 / $973.00 / $3,338.00	Facility		$287.64	$973.00	$3,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.36 / $251.18 / $395.98	Professional		$170.36	$251.18	$395.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.85 / $2,449.00 / $4,451.75	Facility		$1,161.85	$2,449.00	$4,451.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $346.78 / $463.38	Professional		$212.99	$346.78	$463.38
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 $197.35 / $288.85 / $418.80	Professional		$197.35	$288.85	$418.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $345.40 / $844.81	Professional		$228.45	$345.40	$844.81
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 $200.59 / $212.13 / $313.25	Professional		$200.59	$212.13	$313.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.44	Professional		$32.34	$32.34	$361.44
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 $232.06 / $318.48 / $569.24	Professional		$232.06	$318.48	$569.24