Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $1,159.00 / $4,500.00	Facility		$96.77	$1,159.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $91.70 / $164.07	Professional		$51.42	$91.70	$164.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.93 / $843.45 / $1,231.73	Facility		$214.93	$843.45	$1,231.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $95.14 / $155.32	Professional		$59.59	$95.14	$155.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $300.00 / $1,000.00	Facility		$88.85	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $106.63 / $202.54	Professional		$56.52	$106.63	$202.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $138.02 / $345.89	Professional		$70.23	$138.02	$345.89
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 $63.56 / $65.25 / $123.71	Professional		$63.56	$65.25	$123.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.88	Professional		$32.34	$32.34	$139.88
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 $99.25 / $139.32 / $223.99	Professional		$99.25	$139.32	$223.99