Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.26 / $1,129.00 / $5,091.00	Facility		$274.26	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $220.66 / $401.07	Professional		$144.49	$220.66	$401.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.60 / $1,398.81 / $3,254.05	Facility		$520.60	$1,398.81	$3,254.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $281.73 / $410.51	Professional		$196.48	$281.73	$410.51
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 $169.57 / $263.12 / $420.04	Professional		$169.57	$263.12	$420.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $343.77 / $586.33	Professional		$200.00	$343.77	$586.33
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 $201.44 / $209.73 / $326.98	Professional		$201.44	$209.73	$326.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $369.73	Professional		$32.34	$32.34	$369.73
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 $213.25 / $294.98 / $526.30	Professional		$213.25	$294.98	$526.30