Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.49 / $1,609.00 / $5,549.00	Facility		$348.49	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $192.93 / $371.95	Professional		$159.94	$192.93	$371.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.67 / $2,557.60 / $5,121.59	Facility		$1,195.67	$2,557.60	$5,121.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $330.69 / $369.64	Professional		$255.22	$330.69	$369.64
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 $200.44 / $297.19 / $429.43	Professional		$200.44	$297.19	$429.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.15 / $338.26 / $2,095.50	Professional		$231.15	$338.26	$2,095.50
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 $210.03 / $251.28 / $286.18	Professional		$210.03	$251.28	$286.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $323.61	Professional		$32.34	$32.34	$323.61
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 $187.34 / $278.08 / $446.20	Professional		$187.34	$278.08	$446.20