Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.91 / $1,012.03 / $4,301.00	Facility		$213.91	$1,012.03	$4,301.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $209.06 / $555.00	Professional		$109.01	$209.06	$555.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.62 / $1,403.08 / $3,060.31	Facility		$797.62	$1,403.08	$3,060.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $271.92 / $393.48	Professional		$184.82	$271.92	$393.48
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 $166.89 / $256.75 / $392.92	Professional		$166.89	$256.75	$392.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $329.51 / $604.09	Professional		$194.32	$329.51	$604.09
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 $179.75 / $195.46 / $315.58	Professional		$179.75	$195.46	$315.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $364.14	Professional		$32.34	$32.34	$364.14
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $916.00 / $3,606.00	Facility		$165.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.44 / $301.02 / $500.02	Professional		$219.44	$301.02	$500.02