Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.03 / $1,411.00 / $4,634.00	Facility		$357.03	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.82 / $225.33 / $408.86	Professional		$164.82	$225.33	$408.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,141.48 / $2,005.22 / $4,373.64	Facility		$1,141.48	$2,005.22	$4,373.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.10 / $314.14 / $468.34	Professional		$240.10	$314.14	$468.34
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 $198.00 / $311.61 / $472.64	Professional		$198.00	$311.61	$472.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.72 / $379.36 / $1,027.47	Professional		$245.72	$379.36	$1,027.47
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 $226.56 / $244.35 / $352.26	Professional		$226.56	$244.35	$352.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $398.33	Professional		$32.34	$32.34	$398.33
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $318.75 / $521.89	Professional		$221.71	$318.75	$521.89