Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.06 / $1,411.00 / $4,634.00	Facility		$189.06	$1,411.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $153.57 / $258.44	Professional		$104.60	$153.57	$258.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $568.51 / $2,147.90	Facility		$277.55	$568.51	$2,147.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $187.37 / $265.26	Professional		$125.81	$187.37	$265.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.04 / $400.00 / $1,300.00	Facility		$183.04	$400.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $182.25 / $328.04	Professional		$115.79	$182.25	$328.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $228.90 / $650.14	Professional		$135.60	$228.90	$650.14
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 $131.18 / $135.60 / $212.72	Professional		$131.18	$135.60	$212.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.54	Professional		$32.34	$32.34	$240.54
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $208.22 / $343.39	Professional		$152.10	$208.22	$343.39