Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.08 / $1,207.00 / $4,634.00	Facility		$319.08	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $203.62 / $349.11	Professional		$155.62	$203.62	$349.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.26 / $1,811.80 / $3,951.78	Facility		$1,067.26	$1,811.80	$3,951.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $282.10 / $385.26	Professional		$217.72	$282.10	$385.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.39 / $286.72 / $392.59	Professional		$180.39	$286.72	$392.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $330.00 / $969.38	Professional		$215.97	$330.00	$969.38
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 $212.51 / $223.93 / $286.73	Professional		$212.51	$223.93	$286.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $324.22	Professional		$32.34	$32.34	$324.22
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,689.00 / $4,183.00	Facility		$807.00	$1,689.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $315.83 / $483.78	Professional		$194.68	$315.83	$483.78