Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.06 / $2,989.00 / $7,407.00	Facility		$194.06	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $194.06 / $293.07	Professional		$163.19	$194.06	$293.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.89 / $1,837.20 / $3,678.99	Facility		$858.89	$1,837.20	$3,678.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.49 / $235.14 / $274.72	Professional		$196.49	$235.14	$274.72
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 $175.98 / $248.30 / $364.71	Professional		$175.98	$248.30	$364.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $277.45 / $703.29	Professional		$174.39	$277.45	$703.29
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 $177.61 / $206.10 / $230.32	Professional		$177.61	$206.10	$230.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $260.44	Professional		$32.34	$32.34	$260.44
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 $178.19 / $257.32 / $413.33	Professional		$178.19	$257.32	$413.33