Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $1,055.00 / $5,091.00	Facility		$176.36	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $129.68 / $235.50	Professional		$81.44	$129.68	$235.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.43 / $1,049.92 / $1,880.66	Facility		$808.43	$1,049.92	$1,880.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $162.80 / $245.76	Professional		$111.72	$162.80	$245.76
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 $100.88 / $152.29 / $251.77	Professional		$100.88	$152.29	$251.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $205.80 / $401.58	Professional		$120.00	$205.80	$401.58
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 $106.65 / $118.16 / $197.20	Professional		$106.65	$118.16	$197.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $227.54	Professional		$32.34	$32.34	$227.54
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 $129.90 / $185.40 / $313.86	Professional		$129.90	$185.40	$313.86