Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.18 / $1,129.00 / $5,091.00	Facility		$200.18	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $168.42 / $340.39	Professional		$102.65	$168.42	$340.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.65 / $2,027.17 / $2,905.02	Facility		$789.65	$2,027.17	$2,905.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $210.91 / $327.69	Professional		$144.86	$210.91	$327.69
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 $121.30 / $197.87 / $325.95	Professional		$121.30	$197.87	$325.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.26 / $273.32 / $476.39	Professional		$142.26	$273.32	$476.39
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 $146.87 / $153.08 / $263.20	Professional		$146.87	$153.08	$263.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $297.62	Professional		$32.34	$32.34	$297.62
United Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $1,553.00 / $4,256.00	Facility		$828.00	$1,553.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $238.18 / $417.41	Professional		$171.95	$238.18	$417.41