Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.43 / $1,516.12 / $5,283.00	Facility		$227.43	$1,516.12	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $213.15 / $421.11	Professional		$86.22	$213.15	$421.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.66 / $1,071.97 / $1,934.69	Facility		$831.66	$1,071.97	$1,934.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $262.23 / $419.34	Professional		$114.65	$262.23	$419.34
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 / $248.45 / $459.62	Professional		$120.00	$248.45	$459.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $358.19 / $820.53	Professional		$137.97	$358.19	$820.53
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 $116.26 / $123.71 / $335.67	Professional		$116.26	$123.71	$335.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $387.32	Professional		$32.34	$32.34	$387.32
United Facility/Professional Facility Modifier Low / Median / High Price $608.00 / $1,689.00 / $4,183.00	Facility		$608.00	$1,689.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $381.56 / $574.41	Professional		$271.12	$381.56	$574.41