Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $1,272.00 / $5,389.00	Facility		$256.14	$1,272.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $159.91 / $293.63	Professional		$118.58	$159.91	$293.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,284.35 / $2,801.37	Facility		$549.75	$1,284.35	$2,801.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $208.94 / $297.85	Professional		$167.25	$208.94	$297.85
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 $135.43 / $201.57 / $309.31	Professional		$135.43	$201.57	$309.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $253.83 / $510.91	Professional		$161.87	$253.83	$510.91
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 $166.56 / $175.90 / $239.28	Professional		$166.56	$175.90	$239.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.57	Professional		$32.34	$32.34	$270.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $214.60 / $371.72	Professional		$149.52	$214.60	$371.72