Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.13 / $1,169.00 / $5,091.00	Facility		$241.13	$1,169.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $207.07 / $414.29	Professional		$126.65	$207.07	$414.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,364.19 / $2,897.23	Facility		$843.45	$1,364.19	$2,897.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $254.08 / $379.31	Professional		$173.86	$254.08	$379.31
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 $149.19 / $232.94 / $377.40	Professional		$149.19	$232.94	$377.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $315.41 / $563.63	Professional		$169.41	$315.41	$563.63
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 $177.45 / $184.39 / $303.73	Professional		$177.45	$184.39	$303.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $343.45	Professional		$32.34	$32.34	$343.45
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 $199.66 / $282.36 / $495.77	Professional		$199.66	$282.36	$495.77