Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.57 / $1,620.00 / $5,389.00	Facility		$341.57	$1,620.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $317.68 / $515.58	Professional		$197.41	$317.68	$515.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,945.63 / $3,210.13 / $4,526.13	Facility		$1,945.63	$3,210.13	$4,526.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.61 / $339.66 / $519.32	Professional		$226.61	$339.66	$519.32
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 $221.89 / $347.23 / $604.19	Professional		$221.89	$347.23	$604.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.91 / $420.58 / $1,066.33	Professional		$219.91	$420.58	$1,066.33
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 $240.38 / $240.51 / $394.21	Professional		$240.38	$240.51	$394.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $445.76	Professional		$32.34	$32.34	$445.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.92 / $401.66 / $690.39	Professional		$295.92	$401.66	$690.39