Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $1,094.00 / $4,634.00	Facility		$166.51	$1,094.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $149.60 / $239.90	Professional		$85.88	$149.60	$239.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.41 / $1,107.82 / $2,719.24	Facility		$196.41	$1,107.82	$2,719.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $169.70 / $277.04	Professional		$106.02	$169.70	$277.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $300.00 / $1,000.00	Facility		$154.03	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $168.44 / $305.01	Professional		$97.21	$168.44	$305.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $235.99 / $501.57	Professional		$123.39	$235.99	$501.57
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 $110.06 / $114.22 / $222.77	Professional		$110.06	$114.22	$222.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.90	Professional		$32.34	$32.34	$251.90
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $199.85 / $326.07	Professional		$143.61	$199.85	$326.07