Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.97 / $1,055.00 / $4,634.00	Facility		$205.97	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $166.45 / $269.64	Professional		$105.77	$166.45	$269.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.20 / $929.60 / $2,132.35	Facility		$448.20	$929.60	$2,132.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $186.29 / $292.26	Professional		$123.48	$186.29	$292.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $183.19 / $1,000.00	Facility		$50.00	$183.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $188.00 / $318.70	Professional		$115.12	$188.00	$318.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $244.07 / $358.08	Professional		$138.97	$244.07	$358.08
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 $130.66 / $134.82 / $232.75	Professional		$130.66	$134.82	$232.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $263.19	Professional		$32.34	$32.34	$263.19
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 $161.09 / $224.05 / $383.69	Professional		$161.09	$224.05	$383.69