Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.56 / $1,159.00 / $5,091.00	Facility		$305.56	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $226.16 / $363.94	Professional		$167.04	$226.16	$363.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,857.60 / $3,800.30 / $5,593.93	Facility		$1,857.60	$3,800.30	$5,593.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $357.13 / $460.29	Professional		$225.56	$357.13	$460.29
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 $205.46 / $297.63 / $433.52	Professional		$205.46	$297.63	$433.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.98 / $359.32 / $813.63	Professional		$245.98	$359.32	$813.63
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 $218.99 / $233.66 / $333.66	Professional		$218.99	$233.66	$333.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $384.99	Professional		$32.34	$32.34	$384.99
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 $208.97 / $315.80 / $568.32	Professional		$208.97	$315.80	$568.32