Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.80 / $1,305.00 / $5,091.00	Facility		$182.80	$1,305.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $149.33 / $308.18	Professional		$56.38	$149.33	$308.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.29 / $1,367.86 / $2,516.91	Facility		$617.29	$1,367.86	$2,516.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $158.77 / $297.54	Professional		$72.30	$158.77	$297.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,279.13 / $1,428.00	Facility		$620.00	$1,279.13	$1,428.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $177.18 / $326.39	Professional		$77.45	$177.18	$326.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $226.78 / $781.88	Professional		$87.83	$226.78	$781.88
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 $70.37 / $76.12 / $205.22	Professional		$70.37	$76.12	$205.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $236.79	Professional		$32.34	$32.34	$236.79
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 $224.08 / $322.91 / $579.07	Professional		$224.08	$322.91	$579.07