Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.76 / $1,758.00 / $5,393.00	Facility		$266.76	$1,758.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.23 / $169.05 / $280.25	Professional		$118.23	$169.05	$280.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.60 / $1,522.16 / $3,048.12	Facility		$711.60	$1,522.16	$3,048.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $220.52 / $316.26	Professional		$164.29	$220.52	$316.26
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 $148.16 / $208.15 / $339.93	Professional		$148.16	$208.15	$339.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $264.83 / $744.62	Professional		$168.67	$264.83	$744.62
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 $159.29 / $173.54 / $253.47	Professional		$159.29	$173.54	$253.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.47	Professional		$32.34	$32.34	$292.47
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 $169.86 / $237.80 / $420.02	Professional		$169.86	$237.80	$420.02