Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $1,169.00 / $4,634.00	Facility		$309.64	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $269.86 / $496.74	Professional		$136.15	$269.86	$496.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.26 / $1,706.67 / $3,508.84	Facility		$1,067.26	$1,706.67	$3,508.84
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 $169.32 / $317.58 / $563.79	Professional		$169.32	$317.58	$563.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $453.49 / $974.36	Professional		$205.32	$453.49	$974.36
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 $191.35 / $200.10 / $425.93	Professional		$191.35	$200.10	$425.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $481.63	Professional		$32.34	$32.34	$481.63
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 $311.50 / $456.16 / $760.16	Professional		$311.50	$456.16	$760.16