Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.72 / $1,835.00 / $5,091.00	Facility		$418.72	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $219.15 / $418.72	Professional		$180.75	$219.15	$418.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.08 / $2,793.76 / $5,594.50	Facility		$1,306.08	$2,793.76	$5,594.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.80 / $353.48 / $405.00	Professional		$272.80	$353.48	$405.00
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 $223.74 / $317.67 / $470.40	Professional		$223.74	$317.67	$470.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $254.91 / $370.62 / $940.54	Professional		$254.91	$370.62	$940.54
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 $245.47 / $275.31 / $305.89	Professional		$245.47	$275.31	$305.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.91	Professional		$32.34	$32.34	$345.91
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $312.77 / $496.86	Professional		$210.75	$312.77	$496.86