Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.71 / $1,169.00 / $5,091.00	Facility		$106.71	$1,169.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $73.67 / $124.97	Professional		$55.52	$73.67	$124.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $987.76 / $2,486.03	Facility		$243.65	$987.76	$2,486.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $85.25 / $126.43	Professional		$69.31	$85.25	$126.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.56 / $300.00 / $1,000.00	Facility		$75.56	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $95.04 / $165.06	Professional		$59.36	$95.04	$165.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $112.62 / $267.52	Professional		$73.26	$112.62	$267.52
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 $71.06 / $74.63 / $101.30	Professional		$71.06	$74.63	$101.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.54	Professional		$32.34	$32.34	$114.54
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 $77.14 / $108.68 / $178.07	Professional		$77.14	$108.68	$178.07