Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.14 / $1,055.00 / $5,123.77	Facility		$170.14	$1,055.00	$5,123.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $192.25 / $419.54	Professional		$85.26	$192.25	$419.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.80 / $1,037.61 / $2,060.65	Facility		$537.80	$1,037.61	$2,060.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $238.72 / $408.34	Professional		$104.28	$238.72	$408.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $228.18 / $769.30	Professional		$106.38	$228.18	$769.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $326.41 / $682.43	Professional		$124.44	$326.41	$682.43
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 $102.79 / $110.97 / $303.10	Professional		$102.79	$110.97	$303.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $349.73	Professional		$32.34	$32.34	$349.73
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.45 / $432.13 / $820.35	Professional		$228.45	$432.13	$820.35