Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.56 / $1,055.00 / $4,634.00	Facility		$202.56	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $147.52 / $268.38	Professional		$105.68	$147.52	$268.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.05 / $1,775.73 / $2,602.01	Facility		$454.05	$1,775.73	$2,602.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $163.08 / $242.87	Professional		$126.15	$163.08	$242.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.35 / $300.00 / $1,000.00	Facility		$158.35	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $179.87 / $300.64	Professional		$116.94	$179.87	$300.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $210.24 / $490.77	Professional		$138.50	$210.24	$490.77
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 $133.06 / $136.66 / $193.77	Professional		$133.06	$136.66	$193.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $219.10	Professional		$32.34	$32.34	$219.10
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 $141.81 / $196.56 / $321.77	Professional		$141.81	$196.56	$321.77