Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $1,346.82 / $4,961.00	Facility		$116.14	$1,346.82	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $113.53 / $286.93	Professional		$69.45	$113.53	$286.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.73 / $1,519.51 / $2,753.02	Facility		$685.73	$1,519.51	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $141.13 / $209.31	Professional		$96.76	$141.13	$209.31
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 $84.99 / $129.58 / $211.40	Professional		$84.99	$129.58	$211.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $174.24 / $318.14	Professional		$99.99	$174.24	$318.14
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 $99.71 / $102.44 / $167.79	Professional		$99.71	$102.44	$167.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.73	Professional		$32.34	$32.34	$189.73
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $153.75 / $264.95	Professional		$107.34	$153.75	$264.95