Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $1,207.00 / $4,634.00	Facility		$204.81	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $157.94 / $283.52	Professional		$109.60	$157.94	$283.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.62 / $1,818.37 / $2,655.88	Facility		$482.62	$1,818.37	$2,655.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $178.55 / $264.77	Professional		$136.19	$178.55	$264.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $400.00 / $908.00	Facility		$172.22	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $192.94 / $320.89	Professional		$125.31	$192.94	$320.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $228.47 / $523.37	Professional		$150.75	$228.47	$523.37
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 $141.13 / $146.76 / $212.15	Professional		$141.13	$146.76	$212.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $239.89	Professional		$32.34	$32.34	$239.89
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,753.00 / $4,021.00	Facility		$711.00	$1,753.00	$4,021.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $209.42 / $343.65	Professional		$151.46	$209.42	$343.65