Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.25 / $1,289.00 / $5,091.00	Facility		$266.25	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $225.90 / $409.33	Professional		$127.67	$225.90	$409.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,381.44 / $3,061.14 / $5,843.37	Facility		$1,381.44	$3,061.14	$5,843.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $265.31 / $424.97	Professional		$176.43	$265.31	$424.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,783.28 / $4,223.58	Facility		$463.00	$3,783.28	$4,223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.10 / $249.47 / $432.86	Professional		$163.10	$249.47	$432.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $344.44 / $1,243.26	Professional		$197.85	$344.44	$1,243.26
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 $171.24 / $180.35 / $319.58	Professional		$171.24	$180.35	$319.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.37	Professional		$32.34	$32.34	$361.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.14 / $370.51 / $622.13	Professional		$230.14	$370.51	$622.13