Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.37 / $1,159.00 / $5,091.00	Facility		$307.37	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.78 / $316.27 / $571.95	Professional		$165.78	$316.27	$571.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.26 / $3,088.53 / $4,255.85	Facility		$1,624.26	$3,088.53	$4,255.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.60 / $331.07 / $558.40	Professional		$188.60	$331.07	$558.40
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 $185.03 / $325.13 / $583.32	Professional		$185.03	$325.13	$583.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $443.36 / $1,003.02	Professional		$200.00	$443.36	$1,003.02
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 $198.71 / $202.07 / $423.22	Professional		$198.71	$202.07	$423.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $478.56	Professional		$32.34	$32.34	$478.56
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $404.93 / $749.98	Professional		$302.27	$404.93	$749.98