Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.38 / $1,055.00 / $5,091.00	Facility		$217.38	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $207.14 / $370.28	Professional		$122.53	$207.14	$370.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.79 / $2,276.50 / $5,510.44	Facility		$636.79	$2,276.50	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $225.82 / $352.55	Professional		$139.18	$225.82	$352.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $217.87 / $378.82	Professional		$128.47	$217.87	$378.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $300.31 / $592.19	Professional		$165.17	$300.31	$592.19
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 $147.55 / $150.46 / $282.82	Professional		$147.55	$150.46	$282.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.33	Professional		$32.34	$32.34	$326.33
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.46 / $304.95 / $521.86	Professional		$204.46	$304.95	$521.86