Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $1,146.47 / $4,138.50	Facility		$155.44	$1,146.47	$4,138.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $185.61 / $564.78	Professional		$73.81	$185.61	$564.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.91 / $998.52 / $1,656.11	Facility		$711.91	$998.52	$1,656.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $290.66 / $573.13	Professional		$96.70	$290.66	$573.13
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 $104.55 / $296.79 / $674.55	Professional		$104.55	$296.79	$674.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $479.29 / $936.55	Professional		$116.55	$479.29	$936.55
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 $98.66 / $104.56 / $461.54	Professional		$98.66	$104.56	$461.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $532.54	Professional		$32.34	$32.34	$532.54
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.02 / $652.73 / $1,008.26	Professional		$445.02	$652.73	$1,008.26