Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.68 / $1,159.00 / $5,389.00	Facility		$164.68	$1,159.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $138.35 / $207.44	Professional		$91.28	$138.35	$207.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.90 / $1,529.20 / $3,062.22	Facility		$714.90	$1,529.20	$3,062.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $206.50 / $311.77	Professional		$112.54	$206.50	$311.77
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 $106.94 / $169.63 / $263.39	Professional		$106.94	$169.63	$263.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $207.17 / $506.62	Professional		$123.05	$207.17	$506.62
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 $97.93 / $114.26 / $192.37	Professional		$97.93	$114.26	$192.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.53	Professional		$32.34	$32.34	$217.53
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $203.49 / $386.40	Professional		$155.24	$203.49	$386.40