Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $1,159.00 / $5,091.00	Facility		$333.00	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.88 / $280.33 / $517.79	Professional		$201.88	$280.33	$517.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $2,167.37 / $4,727.32	Facility		$754.86	$2,167.37	$4,727.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $370.16 / $493.33	Professional		$236.42	$370.16	$493.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $346.73 / $505.88	Professional		$227.33	$346.73	$505.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.52 / $397.88 / $1,515.79	Professional		$215.52	$397.88	$1,515.79
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 $247.43 / $254.71 / $369.46	Professional		$247.43	$254.71	$369.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $417.77	Professional		$32.34	$32.34	$417.77
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $371.01 / $609.03	Professional		$281.20	$371.01	$609.03