Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $129.79 / $196.34	Professional		$114.08	$129.79	$196.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.78 / $1,886.74 / $2,701.13	Facility		$790.78	$1,886.74	$2,701.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $204.11 / $204.11	Professional		$138.44	$204.11	$204.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $785.00 / $1,279.13	Facility		$138.16	$785.00	$1,279.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $178.92 / $276.11	Professional		$116.21	$178.92	$276.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $56.77 / $568.92	Professional		$39.03	$56.77	$568.92
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 $40.90 / $42.04 / $46.12	Professional		$40.90	$42.04	$46.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $41.25 / $2,500.00	Professional		$40.14	$41.25	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.34 / $169.77 / $287.95	Professional		$120.34	$169.77	$287.95