Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.28 / $2,095.00 / $5,393.00	Facility		$336.28	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $161.61 / $316.01	Professional		$145.04	$161.61	$316.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,044.28 / $2,233.76 / $4,473.10	Facility		$1,044.28	$2,233.76	$4,473.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.70 / $283.67 / $325.02	Professional		$215.70	$283.67	$325.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $254.93 / $371.72	Professional		$177.52	$254.93	$371.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.55 / $297.43 / $836.03	Professional		$204.55	$297.43	$836.03
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 $196.98 / $220.95 / $245.49	Professional		$196.98	$220.95	$245.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $277.58	Professional		$32.34	$32.34	$277.58
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 $166.02 / $244.93 / $398.77	Professional		$166.02	$244.93	$398.77