Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.03 / $1,283.00 / $2,750.00	Facility		$384.03	$1,283.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $278.12 / $475.00	Professional		$206.79	$278.12	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.90 / $1,637.97 / $2,905.63	Facility		$910.90	$1,637.97	$2,905.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $236.85 / $380.11	Professional		$111.74	$236.85	$380.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.98 / $180.30 / $822.00	Facility		$125.98	$180.30	$822.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $283.89 / $434.10	Professional		$188.06	$283.89	$434.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $344.73 / $1,171.76	Professional		$227.81	$344.73	$1,171.76
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 $241.03 / $243.92 / $263.61	Professional		$241.03	$243.92	$263.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.04 / $259.57	Professional		$32.34	$101.04	$259.57
United Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $285.47 / $428.26	Professional		$219.00	$285.47	$428.26