Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $1,694.00 / $5,389.00	Facility		$306.83	$1,694.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $180.23 / $332.39	Professional		$156.86	$180.23	$332.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.32 / $3,460.83 / $5,131.55	Facility		$1,640.32	$3,460.83	$5,131.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $298.68 / $351.11	Professional		$222.09	$298.68	$351.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $263.75 / $372.37	Professional		$194.22	$263.75	$372.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $309.24 / $764.23	Professional		$205.14	$309.24	$764.23
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 $212.82 / $229.72 / $253.98	Professional		$212.82	$229.72	$253.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $293.06	Professional		$32.34	$32.34	$293.06
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 $177.26 / $264.55 / $407.60	Professional		$177.26	$264.55	$407.60