Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.92 / $1,094.00 / $5,283.00	Facility		$169.92	$1,094.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $113.72 / $187.70	Professional		$84.67	$113.72	$187.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.84 / $900.80 / $1,826.16	Facility		$383.84	$900.80	$1,826.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $136.78 / $198.76	Professional		$109.34	$136.78	$198.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $94.45 / $1,000.00	Facility		$50.00	$94.45	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $132.16 / $234.51	Professional		$89.44	$132.16	$234.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $150.00 / $356.76	Professional		$100.38	$150.00	$356.76
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 $94.02 / $99.00 / $134.56	Professional		$94.02	$99.00	$134.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.16	Professional		$32.34	$32.34	$152.16
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 $111.95 / $146.56 / $275.35	Professional		$111.95	$146.56	$275.35