Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $1,128.67 / $4,500.00	Facility		$221.43	$1,128.67	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $210.16 / $369.82	Professional		$117.21	$210.16	$369.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.97 / $1,210.61 / $2,816.27	Facility		$505.97	$1,210.61	$2,816.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $223.76 / $353.91	Professional		$143.13	$223.76	$353.91
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 $146.36 / $233.41 / $357.63	Professional		$146.36	$233.41	$357.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $283.50 / $905.89	Professional		$164.49	$283.50	$905.89
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 $142.09 / $150.33 / $262.57	Professional		$142.09	$150.33	$262.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $302.97	Professional		$32.34	$32.34	$302.97
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.22 / $295.58 / $438.74	Professional		$200.22	$295.58	$438.74