Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,862.09 / $5,754.40	Facility		$169.82	$1,862.09	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $245.47	Professional		$83.18	$120.23	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $776.25 / $1,548.82	Facility		$117.49	$776.25	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $169.82	Professional		$109.65	$138.04	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $1,000.00	Facility		$50.12	$95.50	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $269.15	Professional		$87.10	$131.83	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $416.87	Professional		$97.72	$158.49	$416.87
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 $93.33 / $100.00 / $134.90	Professional		$93.33	$100.00	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $218.78	Professional		$85.11	$125.89	$218.78