Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.14 / $1,196.54 / $4,789.29	Facility		$104.14	$1,196.54	$4,789.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $127.93 / $258.41	Professional		$74.45	$127.93	$258.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.62 / $1,583.53 / $3,108.13	Facility		$714.62	$1,583.53	$3,108.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $160.02 / $255.90	Professional		$100.10	$160.02	$255.90
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 $92.91 / $157.87 / $254.17	Professional		$92.91	$157.87	$254.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $221.02 / $422.60	Professional		$114.29	$221.02	$422.60
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 $98.59 / $106.34 / $205.23	Professional		$98.59	$106.34	$205.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.07	Professional		$32.34	$32.34	$232.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $193.86 / $314.48	Professional		$123.52	$193.86	$314.48