Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.96 / $1,017.00 / $4,634.00	Facility		$207.96	$1,017.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.86 / $145.40 / $244.88	Professional		$101.86	$145.40	$244.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.34 / $151.34 / $1,173.11	Facility		$151.34	$151.34	$1,173.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $165.98 / $247.06	Professional		$122.53	$165.98	$247.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.34 / $300.00 / $1,000.00	Facility		$163.34	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $176.34 / $311.24	Professional		$116.63	$176.34	$311.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $212.38 / $479.91	Professional		$137.90	$212.38	$479.91
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 $129.01 / $132.80 / $197.21	Professional		$129.01	$132.80	$197.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $223.00	Professional		$32.34	$32.34	$223.00
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $843.00 / $3,399.00	Facility		$204.00	$843.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $213.44 / $348.38	Professional		$152.38	$213.44	$348.38