Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $1,159.00 / $5,091.00	Facility		$292.20	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.27 / $266.33 / $424.18	Professional		$164.27	$266.33	$424.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,727.84 / $3,768.64	Facility		$411.32	$1,727.84	$3,768.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $290.69 / $442.28	Professional		$187.28	$290.69	$442.28
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 $170.79 / $280.93 / $477.34	Professional		$170.79	$280.93	$477.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.29 / $351.17 / $1,389.02	Professional		$176.29	$351.17	$1,389.02
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 $198.00 / $200.03 / $334.36	Professional		$198.00	$200.03	$334.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $378.08	Professional		$32.34	$32.34	$378.08
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.56 / $305.29 / $549.94	Professional		$228.56	$305.29	$549.94