Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.55 / $1,568.00 / $4,634.00	Facility		$233.55	$1,568.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.09 / $181.63 / $324.81	Professional		$109.09	$181.63	$324.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.09 / $1,494.17 / $2,767.40	Facility		$1,064.09	$1,494.17	$2,767.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $232.16 / $344.99	Professional		$151.91	$232.16	$344.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $929.98 / $1,038.21	Facility		$620.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.34 / $212.26 / $348.17	Professional		$134.34	$212.26	$348.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $297.66 / $876.42	Professional		$173.50	$297.66	$876.42
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 $151.63 / $157.82 / $256.39	Professional		$151.63	$157.82	$256.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $289.91	Professional		$32.34	$32.34	$289.91
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,900.00 / $4,256.00	Facility		$807.00	$1,900.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $244.10 / $409.06	Professional		$169.90	$244.10	$409.06