Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.97 / $1,758.00 / $5,389.00	Facility		$225.97	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $264.04 / $524.46	Professional		$113.56	$264.04	$524.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $1,978.17 / $3,012.45	Facility		$897.18	$1,978.17	$3,012.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.06 / $306.22 / $523.82	Professional		$153.06	$306.22	$523.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $240.85 / $512.97	Professional		$136.43	$240.85	$512.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $391.42 / $824.00	Professional		$172.07	$391.42	$824.00
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 $154.02 / $159.78 / $391.42	Professional		$154.02	$159.78	$391.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $451.64	Professional		$32.34	$32.34	$451.64
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 $280.73 / $392.41 / $690.36	Professional		$280.73	$392.41	$690.36