Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.08 / $1,731.00 / $5,091.00	Facility		$350.08	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.85 / $181.76 / $350.08	Professional		$149.85	$181.76	$350.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.92 / $2,350.64 / $4,707.14	Facility		$1,098.92	$2,350.64	$4,707.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $295.47 / $338.73	Professional		$228.03	$295.47	$338.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $265.54 / $373.81	Professional		$184.33	$265.54	$373.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $309.95 / $681.08	Professional		$213.45	$309.95	$681.08
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 $205.54 / $230.26 / $255.70	Professional		$205.54	$230.26	$255.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $289.13	Professional		$32.34	$32.34	$289.13
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $254.39 / $415.91	Professional		$171.37	$254.39	$415.91