Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.61 / $1,363.00 / $5,091.00	Facility		$246.61	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $147.94 / $219.56	Professional		$117.85	$147.94	$219.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.77 / $1,697.26 / $3,948.34	Facility		$578.77	$1,697.26	$3,948.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $289.50 / $334.43	Professional		$161.69	$289.50	$334.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $461.10 / $480.00	Facility		$142.06	$461.10	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $188.20 / $281.64	Professional		$126.52	$188.20	$281.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $214.54 / $690.70	Professional		$139.82	$214.54	$690.70
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 $137.90 / $163.10 / $183.07	Professional		$137.90	$163.10	$183.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $207.01	Professional		$32.34	$32.34	$207.01
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $169.16 / $293.50	Professional		$123.17	$169.16	$293.50