Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $1,486.00 / $5,091.00	Facility		$120.47	$1,486.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $107.72 / $241.96	Professional		$59.89	$107.72	$241.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.17 / $772.56 / $1,547.05	Facility		$361.17	$772.56	$1,547.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $133.26 / $213.10	Professional		$83.23	$133.26	$213.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $127.62 / $220.71	Professional		$74.75	$127.62	$220.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $176.97 / $506.05	Professional		$92.89	$176.97	$506.05
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 $79.52 / $87.54 / $171.89	Professional		$79.52	$87.54	$171.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.33	Professional		$32.34	$32.34	$198.33
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $170.87 / $291.17	Professional		$120.04	$170.87	$291.17