Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.72 / $1,225.00 / $5,405.00	Facility		$318.72	$1,225.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $221.92 / $429.40	Professional		$172.09	$221.92	$429.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.59 / $10,102.40 / $23,501.20	Facility		$1,134.59	$10,102.40	$23,501.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.00 / $1,640.00 / $1,640.00	Professional		$1,640.00	$1,640.00	$1,640.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,926.00 / $3,930.00	Facility		$463.00	$3,926.00	$3,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.37 / $333.32 / $493.11	Professional		$224.37	$333.32	$493.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.32 / $371.38 / $2,825.44	Professional		$255.32	$371.38	$2,825.44
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 $227.60 / $250.74 / $333.32	Professional		$227.60	$250.74	$333.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $384.60	Professional		$32.34	$32.34	$384.60
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $356.09 / $651.44	Professional		$231.42	$356.09	$651.44