Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.43 / $1,609.00 / $5,091.00	Facility		$66.43	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $101.31 / $250.05	Professional		$34.74	$101.31	$250.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.17 / $800.78 / $1,127.84	Facility		$420.17	$800.78	$1,127.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $144.65 / $294.74	Professional		$39.79	$144.65	$294.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $97.22 / $249.01	Professional		$39.86	$97.22	$249.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $192.75 / $431.91	Professional		$46.80	$192.75	$431.91
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 $39.21 / $41.82 / $181.86	Professional		$39.21	$41.82	$181.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.64	Professional		$32.34	$32.34	$205.64
United Facility/Professional Facility Modifier Low / Median / High Price $515.60 / $1,481.00 / $4,256.00	Facility		$515.60	$1,481.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $235.29 / $392.73	Professional		$164.76	$235.29	$392.73