Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.37 / $1,194.00 / $4,121.00	Facility		$164.37	$1,194.00	$4,121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $190.28 / $403.96	Professional		$88.36	$190.28	$403.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.43 / $1,820.22 / $2,753.02	Facility		$821.43	$1,820.22	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $246.19 / $393.69	Professional		$112.46	$246.19	$393.69
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 $120.00 / $238.95 / $430.22	Professional		$120.00	$238.95	$430.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $336.28 / $707.43	Professional		$135.54	$336.28	$707.43
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 $115.84 / $121.97 / $314.20	Professional		$115.84	$121.97	$314.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $362.54	Professional		$32.34	$32.34	$362.54
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $342.88 / $513.94	Professional		$218.71	$342.88	$513.94