Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.63 / $1,289.00 / $5,389.00	Facility		$299.63	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $176.02 / $337.82	Professional		$149.76	$176.02	$337.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,037.99 / $2,220.32 / $4,446.18	Facility		$1,037.99	$2,220.32	$4,446.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.86 / $277.30 / $319.99	Professional		$210.86	$277.30	$319.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $256.39 / $341.42	Professional		$185.73	$256.39	$341.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $301.18 / $795.86	Professional		$200.00	$301.18	$795.86
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 $197.11 / $217.52 / $239.98	Professional		$197.11	$217.52	$239.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $276.89	Professional		$32.34	$32.34	$276.89
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $261.20 / $483.86	Professional		$183.14	$261.20	$483.86