Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.80 / $1,568.00 / $5,389.00	Facility		$247.80	$1,568.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.59 / $182.75 / $283.33	Professional		$132.59	$182.75	$283.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,459.11 / $3,166.95 / $5,402.48	Facility		$1,459.11	$3,166.95	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $240.76 / $379.11	Professional		$177.56	$240.76	$379.11
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 $156.78 / $241.12 / $353.70	Professional		$156.78	$241.12	$353.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.43 / $296.51 / $1,224.64	Professional		$194.43	$296.51	$1,224.64
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 $173.11 / $183.61 / $275.33	Professional		$173.11	$183.61	$275.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $317.69	Professional		$32.34	$32.34	$317.69
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 $156.58 / $241.60 / $464.09	Professional		$156.58	$241.60	$464.09