Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.01 / $1,129.00 / $5,091.00	Facility		$94.01	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $80.91 / $143.78	Professional		$47.90	$80.91	$143.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $633.36 / $1,268.30	Facility		$296.08	$633.36	$1,268.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $99.94 / $159.82	Professional		$68.89	$99.94	$159.82
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 $60.83 / $99.02 / $159.29	Professional		$60.83	$99.02	$159.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $139.38 / $375.92	Professional		$77.42	$139.38	$375.92
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 $63.48 / $71.89 / $129.43	Professional		$63.48	$71.89	$129.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.34	Professional		$32.34	$32.34	$149.34
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 $76.87 / $117.54 / $203.69	Professional		$76.87	$117.54	$203.69