Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.91 / $1,272.00 / $5,389.00	Facility		$163.91	$1,272.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $187.10 / $330.81	Professional		$92.48	$187.10	$330.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,062.53 / $2,306.19 / $5,348.06	Facility		$1,062.53	$2,306.19	$5,348.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $196.99 / $392.89	Professional		$99.37	$196.99	$392.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $197.56 / $391.87	Professional		$99.53	$197.56	$391.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $260.82 / $829.16	Professional		$116.84	$260.82	$829.16
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 $99.48 / $105.79 / $242.42	Professional		$99.48	$105.79	$242.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $274.13	Professional		$32.34	$32.34	$274.13
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $328.24 / $483.10	Professional		$193.08	$328.24	$483.10