Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $1,278.00 / $5,091.00	Facility		$172.70	$1,278.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $104.88 / $235.68	Professional		$63.65	$104.88	$235.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.65 / $1,107.28 / $2,217.32	Facility		$517.65	$1,107.28	$2,217.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $171.40 / $210.50	Professional		$118.69	$171.40	$210.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $143.05 / $213.57	Professional		$83.65	$143.05	$213.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $182.16 / $365.75	Professional		$117.41	$182.16	$365.75
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 $110.34 / $124.40 / $169.59	Professional		$110.34	$124.40	$169.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.68	Professional		$32.34	$32.34	$195.68
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $927.00 / $3,606.00	Facility		$204.00	$927.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $155.43 / $273.48	Professional		$103.92	$155.43	$273.48