Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.14 / $1,609.00 / $5,389.00	Facility		$334.14	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $302.77 / $539.54	Professional		$170.55	$302.77	$539.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,782.95 / $3,210.13 / $4,451.58	Facility		$1,782.95	$3,210.13	$4,451.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $331.59 / $559.28	Professional		$206.73	$331.59	$559.28
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 $188.78 / $328.60 / $568.32	Professional		$188.78	$328.60	$568.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $444.06 / $789.85	Professional		$201.43	$444.06	$789.85
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 $218.54 / $221.09 / $423.61	Professional		$218.54	$221.09	$423.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $443.16	Professional		$32.34	$32.34	$443.16
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 $295.43 / $408.65 / $673.50	Professional		$295.43	$408.65	$673.50