Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $1,159.00 / $3,509.91	Facility		$142.90	$1,159.00	$3,509.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $131.38 / $214.22	Professional		$83.21	$131.38	$214.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.34 / $1,006.27 / $1,805.00	Facility		$515.34	$1,006.27	$1,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $151.83 / $212.12	Professional		$104.12	$151.83	$212.12
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 $103.27 / $162.24 / $243.69	Professional		$103.27	$162.24	$243.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $191.66 / $586.21	Professional		$117.68	$191.66	$586.21
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 $95.58 / $109.28 / $177.97	Professional		$95.58	$109.28	$177.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.24	Professional		$32.34	$32.34	$201.24
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 $129.01 / $185.19 / $330.83	Professional		$129.01	$185.19	$330.83