Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $1,122.60 / $4,500.00	Facility		$155.24	$1,122.60	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $153.31 / $301.75	Professional		$113.51	$153.31	$301.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.79 / $1,368.56 / $2,740.54	Facility		$639.79	$1,368.56	$2,740.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $197.90 / $284.57	Professional		$147.08	$197.90	$284.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $189.58 / $306.61	Professional		$133.77	$189.58	$306.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $238.31 / $585.58	Professional		$151.01	$238.31	$585.58
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 $146.69 / $156.68 / $226.62	Professional		$146.69	$156.68	$226.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $261.48	Professional		$32.34	$32.34	$261.48
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 $143.25 / $215.68 / $386.19	Professional		$143.25	$215.68	$386.19