Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.54 / $1,609.00 / $5,091.00	Facility		$229.54	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $221.76 / $354.03	Professional		$117.10	$221.76	$354.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.15 / $2,137.52 / $3,498.81	Facility		$913.15	$2,137.52	$3,498.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $261.06 / $516.92	Professional		$142.27	$261.06	$516.92
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 $142.50 / $225.42 / $429.37	Professional		$142.50	$225.42	$429.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $320.50 / $718.14	Professional		$154.31	$320.50	$718.14
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 $122.20 / $143.29 / $318.95	Professional		$122.20	$143.29	$318.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $333.68	Professional		$32.34	$32.34	$333.68
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 $201.60 / $294.64 / $612.16	Professional		$201.60	$294.64	$612.16