Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.20 / $1,278.00 / $5,549.00	Facility		$405.20	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $251.35 / $434.75	Professional		$184.92	$251.35	$434.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $2,553.56 / $5,940.35	Facility		$396.36	$2,553.56	$5,940.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.77 / $419.73 / $433.09	Professional		$307.77	$419.73	$433.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $370.95 / $489.11	Professional		$261.12	$370.95	$489.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $412.17 / $2,053.05	Professional		$273.51	$412.17	$2,053.05
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 $263.38 / $313.99 / $357.21	Professional		$263.38	$313.99	$357.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $412.17	Professional		$32.34	$32.34	$412.17
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.80 / $342.27 / $560.32	Professional		$231.80	$342.27	$560.32