Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.90 / $1,207.00 / $5,389.00	Facility		$344.90	$1,207.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $255.48 / $443.32	Professional		$187.20	$255.48	$443.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $2,139.23 / $4,976.52	Facility		$396.36	$2,139.23	$4,976.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $412.21 / $493.68	Professional		$259.29	$412.21	$493.68
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 $234.48 / $342.14 / $487.88	Professional		$234.48	$342.14	$487.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.32 / $394.13 / $1,258.20	Professional		$273.32	$394.13	$1,258.20
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 $245.45 / $269.70 / $356.32	Professional		$245.45	$269.70	$356.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $411.14	Professional		$32.34	$32.34	$411.14
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,606.00	Facility		$165.00	$891.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.53 / $367.64 / $662.85	Professional		$252.53	$367.64	$662.85