Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.07 / $1,055.00 / $4,634.00	Facility		$179.07	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $208.31 / $381.98	Professional		$89.66	$208.31	$381.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.03 / $5,924.03 / $12,921.07	Facility		$1,225.03	$5,924.03	$12,921.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $268.14 / $453.73	Professional		$123.11	$268.14	$453.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $929.98 / $1,038.21	Facility		$875.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $225.03 / $454.22	Professional		$114.98	$225.03	$454.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $374.77 / $1,137.03	Professional		$149.86	$374.77	$1,137.03
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 $126.54 / $133.32 / $347.36	Professional		$126.54	$133.32	$347.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $400.80	Professional		$32.34	$32.34	$400.80
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.34 / $327.04 / $557.38	Professional		$228.34	$327.04	$557.38