Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.24 / $1,207.00 / $4,634.00	Facility		$424.24	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.98 / $366.38 / $682.45	Professional		$207.98	$366.38	$682.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.63 / $2,475.69 / $5,399.83	Facility		$1,178.63	$2,475.69	$5,399.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.85 / $465.40 / $767.72	Professional		$296.85	$465.40	$767.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $448.94 / $774.78	Professional		$258.52	$448.94	$774.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $342.98 / $650.34 / $1,784.39	Professional		$342.98	$650.34	$1,784.39
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 $291.39 / $307.50 / $573.34	Professional		$291.39	$307.50	$573.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $648.30	Professional		$32.34	$32.34	$648.30
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.10 / $574.29 / $924.59	Professional		$395.10	$574.29	$924.59