Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.74 / $1,363.00 / $5,091.00	Facility		$204.74	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $111.42 / $172.88	Professional		$97.10	$111.42	$172.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.76 / $1,206.61 / $2,806.96	Facility		$581.76	$1,206.61	$2,806.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $246.92 / $307.29	Professional		$106.36	$246.92	$307.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $400.00 / $908.00	Facility		$110.57	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $142.54 / $231.52	Professional		$100.53	$142.54	$231.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $158.40 / $594.94	Professional		$108.64	$158.40	$594.94
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 $115.17 / $120.42 / $128.38	Professional		$115.17	$120.42	$128.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.18	Professional		$32.34	$32.34	$145.18
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $891.00 / $3,357.00	Facility		$210.00	$891.00	$3,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $141.83 / $231.51	Professional		$98.76	$141.83	$231.51