Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $1,017.00 / $5,091.00	Facility		$84.02	$1,017.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $95.85 / $209.70	Professional		$47.60	$95.85	$209.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.23 / $1,218.14 / $2,639.52	Facility		$561.23	$1,218.14	$2,639.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $120.38 / $245.75	Professional		$55.66	$120.38	$245.75
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 $55.75 / $100.95 / $228.81	Professional		$55.75	$100.95	$228.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $160.41 / $363.02	Professional		$65.45	$160.41	$363.02
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 $52.92 / $57.30 / $151.63	Professional		$52.92	$57.30	$151.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.46	Professional		$32.34	$32.34	$171.46
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 $125.49 / $192.14 / $291.20	Professional		$125.49	$192.14	$291.20