Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.56 / $1,486.00 / $5,389.00	Facility		$205.56	$1,486.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $184.47 / $334.79	Professional		$112.41	$184.47	$334.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.96 / $1,231.30 / $2,464.33	Facility		$840.96	$1,231.30	$2,464.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $216.60 / $336.02	Professional		$148.56	$216.60	$336.02
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 $128.37 / $206.90 / $346.38	Professional		$128.37	$206.90	$346.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $280.02 / $518.83	Professional		$146.56	$280.02	$518.83
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 $151.62 / $157.19 / $269.64	Professional		$151.62	$157.19	$269.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.91	Professional		$32.34	$32.34	$304.91
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 $173.00 / $243.17 / $428.86	Professional		$173.00	$243.17	$428.86