Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.10 / $1,609.00 / $5,091.00	Facility		$418.10	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.14 / $428.17 / $838.25	Professional		$238.14	$428.17	$838.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $2,243.44 / $4,893.26	Facility		$411.32	$2,243.44	$4,893.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.70 / $427.86 / $859.18	Professional		$243.70	$427.86	$859.18
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 $245.90 / $404.28 / $848.40	Professional		$245.90	$404.28	$848.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.02 / $393.50 / $2,026.49	Professional		$218.02	$393.50	$2,026.49
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 $257.66 / $259.52 / $350.38	Professional		$257.66	$259.52	$350.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $396.19	Professional		$32.34	$32.34	$396.19
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.48 / $612.29 / $1,117.50	Professional		$450.48	$612.29	$1,117.50