Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.83 / $1,055.00 / $4,634.00	Facility		$155.83	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $112.45 / $197.06	Professional		$81.99	$112.45	$197.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.24 / $1,775.73 / $2,655.88	Facility		$890.24	$1,775.73	$2,655.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $147.38 / $247.44	Professional		$106.58	$147.38	$247.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $165.11	Facility		$147.90	$147.90	$165.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $158.52 / $249.51	Professional		$97.15	$158.52	$249.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $200.40 / $477.52	Professional		$121.66	$200.40	$477.52
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 $108.37 / $112.97 / $168.87	Professional		$108.37	$112.97	$168.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.12	Professional		$32.34	$32.34	$194.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $147.50 / $262.35	Professional		$105.56	$147.50	$262.35