Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $1,225.00 / $5,091.00	Facility		$134.60	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $125.68 / $252.14	Professional		$60.27	$125.68	$252.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.11 / $1,348.09 / $2,753.02	Facility		$621.11	$1,348.09	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $153.71 / $245.80	Professional		$85.70	$153.71	$245.80
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 $79.54 / $144.43 / $270.85	Professional		$79.54	$144.43	$270.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $209.95 / $467.87	Professional		$99.31	$209.95	$467.87
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 $77.16 / $89.04 / $199.69	Professional		$77.16	$89.04	$199.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.42	Professional		$32.34	$32.34	$230.42
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $195.36 / $333.72	Professional		$138.33	$195.36	$333.72