Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.36 / $1,129.00 / $5,091.00	Facility		$198.36	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $172.43 / $327.88	Professional		$105.34	$172.43	$327.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.96 / $1,199.22 / $2,400.13	Facility		$840.96	$1,199.22	$2,400.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $209.00 / $326.31	Professional		$143.40	$209.00	$326.31
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 $121.61 / $195.87 / $324.38	Professional		$121.61	$195.87	$324.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.07 / $272.00 / $451.32	Professional		$140.07	$272.00	$451.32
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 $145.91 / $151.68 / $261.92	Professional		$145.91	$151.68	$261.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $296.18	Professional		$32.34	$32.34	$296.18
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 $170.19 / $245.45 / $415.14	Professional		$170.19	$245.45	$415.14