Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.49 / $1,568.00 / $5,091.00	Facility		$290.49	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $215.16 / $341.42	Professional		$158.47	$215.16	$341.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,734.22 / $3,764.05 / $5,402.48	Facility		$1,734.22	$3,764.05	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $333.13 / $429.84	Professional		$210.65	$333.13	$429.84
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 $188.64 / $287.23 / $400.64	Professional		$188.64	$287.23	$400.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.68 / $340.18 / $848.86	Professional		$228.68	$340.18	$848.86
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 $203.85 / $217.96 / $311.88	Professional		$203.85	$217.96	$311.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $359.87	Professional		$32.34	$32.34	$359.87
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 $189.71 / $276.18 / $440.38	Professional		$189.71	$276.18	$440.38