Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.40 / $1,471.00 / $5,405.00	Facility		$412.40	$1,471.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.29 / $366.51 / $648.53	Professional		$235.29	$366.51	$648.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.25 / $3,088.53 / $5,294.93	Facility		$398.25	$3,088.53	$5,294.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.24 / $419.21 / $640.47	Professional		$269.24	$419.21	$640.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $401.41 / $673.09	Professional		$258.42	$401.41	$673.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $518.69 / $1,080.55	Professional		$271.20	$518.69	$1,080.55
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 $279.60 / $288.47 / $483.25	Professional		$279.60	$288.47	$483.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.44	Professional		$32.34	$32.34	$546.44
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 $349.98 / $460.82 / $845.62	Professional		$349.98	$460.82	$845.62