Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.95 / $1,159.00 / $5,091.00	Facility		$237.95	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $176.29 / $276.18	Professional		$135.43	$176.29	$276.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,469.46 / $2,872.14 / $4,182.89	Facility		$1,469.46	$2,872.14	$4,182.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $255.09 / $278.36	Professional		$170.72	$255.09	$278.36
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 $147.88 / $216.93 / $365.15	Professional		$147.88	$216.93	$365.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $239.35 / $595.33	Professional		$139.97	$239.35	$595.33
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 $179.49 / $181.96 / $208.90	Professional		$179.49	$181.96	$208.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.21	Professional		$32.34	$32.34	$236.21
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 $147.72 / $193.15 / $399.83	Professional		$147.72	$193.15	$399.83