Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.97 / $1,609.00 / $5,549.00	Facility		$370.97	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $211.32 / $414.93	Professional		$172.08	$211.32	$414.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,364.87 / $2,919.52 / $5,846.33	Facility		$1,364.87	$2,919.52	$5,846.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $323.13 / $448.27	Professional		$204.97	$323.13	$448.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $369.73 / $1,165.77	Professional		$248.56	$369.73	$1,165.77
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 $221.25 / $278.27 / $323.13	Professional		$221.25	$278.27	$323.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $365.38	Professional		$32.34	$32.34	$365.38
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $290.94 / $493.30	Professional		$198.33	$290.94	$493.30