Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $1,038.59 / $4,432.00	Facility		$149.37	$1,038.59	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $303.00 / $747.14	Professional		$68.56	$303.00	$747.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $848.56 / $1,699.24	Facility		$396.70	$848.56	$1,699.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $267.79 / $586.64	Professional		$89.38	$267.79	$586.64
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 $93.99 / $309.00 / $711.77	Professional		$93.99	$309.00	$711.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $501.08 / $1,065.55	Professional		$107.72	$501.08	$1,065.55
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 $90.34 / $96.33 / $473.25	Professional		$90.34	$96.33	$473.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.05	Professional		$32.34	$32.34	$546.05
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 $465.79 / $704.43 / $1,251.58	Professional		$465.79	$704.43	$1,251.58