Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.76 / $1,568.00 / $5,091.00	Facility		$261.76	$1,568.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $174.73 / $385.26	Professional		$114.56	$174.73	$385.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.94 / $1,497.20 / $2,998.14	Facility		$699.94	$1,497.20	$2,998.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $233.29 / $343.20	Professional		$159.97	$233.29	$343.20
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 $144.57 / $218.83 / $361.28	Professional		$144.57	$218.83	$361.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $287.39 / $1,057.29	Professional		$169.32	$287.39	$1,057.29
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 $157.52 / $169.31 / $275.14	Professional		$157.52	$169.31	$275.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $317.48	Professional		$32.34	$32.34	$317.48
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 $185.39 / $263.79 / $446.78	Professional		$185.39	$263.79	$446.78