Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $1,363.00 / $5,389.00	Facility		$140.72	$1,363.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $135.69 / $404.65	Professional		$95.04	$135.69	$404.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.08 / $2,056.56 / $2,945.73	Facility		$863.08	$2,056.56	$2,945.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $205.68 / $208.87	Professional		$112.09	$205.68	$208.87
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 $100.60 / $151.31 / $457.03	Professional		$100.60	$151.31	$457.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $158.60 / $948.22	Professional		$103.96	$158.60	$948.22
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 $107.50 / $117.82 / $126.91	Professional		$107.50	$117.82	$126.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.50	Professional		$32.34	$32.34	$143.50
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 $99.48 / $202.11 / $432.88	Professional		$99.48	$202.11	$432.88