Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $1,365.00 / $3,675.63	Facility		$160.75	$1,365.00	$3,675.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $315.29 / $678.82	Professional		$72.75	$315.29	$678.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.86 / $900.24 / $1,802.73	Facility		$420.86	$900.24	$1,802.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $282.68 / $598.24	Professional		$94.14	$282.68	$598.24
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 $99.97 / $315.11 / $729.19	Professional		$99.97	$315.11	$729.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $510.99 / $1,142.86	Professional		$113.45	$510.99	$1,142.86
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 $95.76 / $101.69 / $482.22	Professional		$95.76	$101.69	$482.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $556.41	Professional		$32.34	$32.34	$556.41
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.76 / $706.69 / $1,097.50	Professional		$474.76	$706.69	$1,097.50