Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.28 / $1,664.00 / $7,723.00	Facility		$187.28	$1,664.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $130.34 / $314.93	Professional		$88.47	$130.34	$314.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.96 / $1,135.97 / $2,050.19	Facility		$840.96	$1,135.97	$2,050.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $161.97 / $234.25	Professional		$124.55	$161.97	$234.25
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 $105.07 / $154.56 / $248.85	Professional		$105.07	$154.56	$248.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $200.08 / $403.68	Professional		$119.19	$200.08	$403.68
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 $129.94 / $131.27 / $188.01	Professional		$129.94	$131.27	$188.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $212.59	Professional		$32.34	$32.34	$212.59
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 $120.91 / $170.74 / $291.70	Professional		$120.91	$170.74	$291.70