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 $196.13 / $274.97 / $418.73	Professional		$196.13	$274.97	$418.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $2,306.39 / $5,030.54	Facility		$411.32	$2,306.39	$5,030.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.31 / $394.45 / $439.59	Professional		$258.31	$394.45	$439.59
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 $224.11 / $329.50 / $467.94	Professional		$224.11	$329.50	$467.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $357.03 / $1,021.26	Professional		$208.24	$357.03	$1,021.26
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 $255.06 / $271.43 / $334.65	Professional		$255.06	$271.43	$334.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $378.41	Professional		$32.34	$32.34	$378.41
United Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $916.00 / $3,606.00	Facility		$158.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.01 / $312.18 / $521.72	Professional		$227.01	$312.18	$521.72