Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.33 / $1,094.00 / $5,389.00	Facility		$124.33	$1,094.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $124.33 / $245.42	Professional		$63.84	$124.33	$245.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.83 / $1,479.39 / $2,516.91	Facility		$413.83	$1,479.39	$2,516.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $144.08 / $246.46	Professional		$82.04	$144.08	$246.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $133.11 / $247.37	Professional		$73.27	$133.11	$247.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $193.21 / $382.11	Professional		$95.71	$193.21	$382.11
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 $81.98 / $85.81 / $183.76	Professional		$81.98	$85.81	$183.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $212.03	Professional		$32.34	$32.34	$212.03
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $197.66 / $373.40	Professional		$133.77	$197.66	$373.40