Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.93 / $1,609.00 / $5,549.00	Facility		$368.93	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $228.08 / $413.01	Professional		$171.24	$228.08	$413.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.34 / $2,907.68 / $5,822.62	Facility		$1,359.34	$2,907.68	$5,822.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.26 / $370.92 / $406.69	Professional		$286.26	$370.92	$406.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $325.94 / $471.49	Professional		$210.49	$325.94	$471.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $367.75 / $899.10	Professional		$246.92	$367.75	$899.10
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 $219.86 / $276.45 / $321.00	Professional		$219.86	$276.45	$321.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $362.97	Professional		$32.34	$32.34	$362.97
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $297.32 / $497.63	Professional		$204.68	$297.32	$497.63