Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.77 / $1,771.00 / $5,393.00	Facility		$208.77	$1,771.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $148.83 / $261.00	Professional		$92.88	$148.83	$261.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.91 / $1,176.32 / $2,355.58	Facility		$549.91	$1,176.32	$2,355.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $185.93 / $291.08	Professional		$127.61	$185.93	$291.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.22 / $180.38 / $300.23	Professional		$115.22	$180.38	$300.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $243.75 / $865.72	Professional		$136.72	$243.75	$865.72
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 $124.10 / $134.94 / $233.71	Professional		$124.10	$134.94	$233.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $269.67	Professional		$32.34	$32.34	$269.67
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 $163.54 / $226.85 / $394.94	Professional		$163.54	$226.85	$394.94