Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.18 / $1,229.00 / $5,483.00	Facility		$247.18	$1,229.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $228.52 / $374.19	Professional		$163.68	$228.52	$374.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,878.92 / $3,800.30 / $5,658.12	Facility		$1,878.92	$3,800.30	$5,658.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $358.61 / $464.36	Professional		$229.64	$358.61	$464.36
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 $203.72 / $303.02 / $432.97	Professional		$203.72	$303.02	$432.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.28 / $362.96 / $976.36	Professional		$247.28	$362.96	$976.36
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 $221.49 / $237.47 / $337.04	Professional		$221.49	$237.47	$337.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $352.59	Professional		$32.34	$32.34	$352.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,581.00 / $6,514.00	Facility		$1,165.00	$3,581.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.29 / $311.66 / $483.70	Professional		$205.29	$311.66	$483.70