Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.11 / $2,093.00 / $7,123.00	Facility		$258.11	$2,093.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $258.11 / $492.42	Professional		$178.51	$258.11	$492.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,209.30 / $5,875.16	Facility		$2,284.98	$4,209.30	$5,875.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.05 / $380.53 / $437.09	Professional		$273.05	$380.53	$437.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $355.04 / $482.52	Professional		$240.17	$355.04	$482.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $268.94 / $390.03 / $1,043.70	Professional		$268.94	$390.03	$1,043.70
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 $251.38 / $285.83 / $358.70	Professional		$251.38	$285.83	$358.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $413.88	Professional		$32.34	$32.34	$413.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $3,733.00 / $6,625.00	Facility		$1,165.00	$3,733.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.51 / $328.31 / $541.76	Professional		$229.51	$328.31	$541.76