Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.35 / $1,609.00 / $5,549.00	Facility		$163.35	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $163.35 / $255.08	Professional		$136.76	$163.35	$255.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.97 / $1,546.48 / $3,096.82	Facility		$722.97	$1,546.48	$3,096.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $195.57 / $227.43	Professional		$165.05	$195.57	$227.43
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 $145.68 / $221.03 / $348.78	Professional		$145.68	$221.03	$348.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $235.76 / $545.84	Professional		$147.35	$235.76	$545.84
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 $144.13 / $170.63 / $191.56	Professional		$144.13	$170.63	$191.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.60	Professional		$32.34	$32.34	$216.60
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $215.10 / $381.31	Professional		$143.85	$215.10	$381.31