Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.14 / $1,159.00 / $4,961.00	Facility		$170.14	$1,159.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $140.94 / $258.45	Professional		$95.36	$140.94	$258.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,008.16 / $2,198.92	Facility		$273.41	$1,008.16	$2,198.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $193.24 / $265.11	Professional		$133.24	$193.24	$265.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $171.66 / $273.81	Professional		$115.33	$171.66	$273.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $222.00 / $416.03	Professional		$133.19	$222.00	$416.03
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 $129.91 / $140.24 / $213.15	Professional		$129.91	$140.24	$213.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $241.02	Professional		$32.34	$32.34	$241.02
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 $134.66 / $188.55 / $323.89	Professional		$134.66	$188.55	$323.89