Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.79 / $1,411.00 / $5,091.00	Facility		$232.79	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $169.18 / $280.94	Professional		$130.33	$169.18	$280.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,446.42 / $3,139.40 / $5,402.48	Facility		$1,446.42	$3,139.40	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $277.36 / $328.35	Professional		$175.48	$277.36	$328.35
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 $148.13 / $228.54 / $310.88	Professional		$148.13	$228.54	$310.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $264.42 / $564.32	Professional		$181.79	$264.42	$564.32
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 $173.64 / $181.47 / $238.11	Professional		$173.64	$181.47	$238.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $274.74	Professional		$32.34	$32.34	$274.74
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 $143.58 / $212.96 / $337.19	Professional		$143.58	$212.96	$337.19