Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.51 / $2,023.57 / $5,389.00	Facility		$131.51	$2,023.57	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $117.78 / $222.38	Professional		$93.94	$117.78	$222.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.13 / $1,799.60 / $2,930.12	Facility		$829.13	$1,799.60	$2,930.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $134.47 / $168.80	Professional		$112.57	$134.47	$168.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $154.33 / $244.94	Professional		$112.77	$154.33	$244.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.18 / $169.15 / $548.53	Professional		$113.18	$169.15	$548.53
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 $114.57 / $122.16 / $133.76	Professional		$114.57	$122.16	$133.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.34	Professional		$32.34	$32.34	$154.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $169.23 / $267.87	Professional		$121.09	$169.23	$267.87