Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.45 / $1,207.00 / $5,091.00	Facility		$205.45	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $201.53 / $344.70	Professional		$114.44	$201.53	$344.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.83 / $2,288.67 / $5,442.83	Facility		$802.83	$2,288.67	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $215.75 / $352.21	Professional		$140.65	$215.75	$352.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $480.00 / $2,713.32	Facility		$204.52	$480.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $213.96 / $387.86	Professional		$130.86	$213.96	$387.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $302.33 / $653.94	Professional		$163.02	$302.33	$653.94
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 $147.69 / $151.37 / $283.27	Professional		$147.69	$151.37	$283.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $320.31	Professional		$32.34	$32.34	$320.31
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,685.00 / $5,407.00	Facility		$815.00	$2,685.00	$5,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $265.75 / $425.49	Professional		$193.74	$265.75	$425.49