Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.06 / $1,207.00 / $4,634.00	Facility		$268.06	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $258.23 / $489.54	Professional		$124.58	$258.23	$489.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.09 / $1,550.14 / $3,102.44	Facility		$1,064.09	$1,550.14	$3,102.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $267.80 / $285.95	Professional		$231.75	$267.80	$285.95
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 $150.38 / $303.39 / $588.34	Professional		$150.38	$303.39	$588.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $429.81 / $984.32	Professional		$184.41	$429.81	$984.32
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 $170.12 / $176.14 / $402.55	Professional		$170.12	$176.14	$402.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $455.19	Professional		$32.34	$32.34	$455.19
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 $272.61 / $406.86 / $645.57	Professional		$272.61	$406.86	$645.57