Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.08 / $1,305.00 / $4,961.00	Facility		$269.08	$1,305.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $166.36 / $311.87	Professional		$93.34	$166.36	$311.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $948.57 / $1,942.31 / $2,856.51	Facility		$948.57	$1,942.31	$2,856.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $193.27 / $332.24	Professional		$111.36	$193.27	$332.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $205.89 / $908.00	Facility		$184.42	$205.89	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $224.31 / $420.24	Professional		$121.00	$224.31	$420.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $267.44 / $583.13	Professional		$134.97	$267.44	$583.13
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 $115.30 / $121.00 / $224.30	Professional		$115.30	$121.00	$224.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.63	Professional		$32.34	$32.34	$253.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.70 / $339.50 / $595.35	Professional		$232.70	$339.50	$595.35