Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $1,055.00 / $4,634.00	Facility		$157.38	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $170.99 / $311.55	Professional		$80.01	$170.99	$311.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.13 / $1,221.66 / $1,729.87	Facility		$344.13	$1,221.66	$1,729.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $195.88 / $319.77	Professional		$95.94	$195.88	$319.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $400.00 / $908.00	Facility		$139.51	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $197.61 / $362.71	Professional		$95.71	$197.61	$362.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $274.10 / $606.61	Professional		$114.16	$274.10	$606.61
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 $95.29 / $104.12 / $256.82	Professional		$95.29	$104.12	$256.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $290.39	Professional		$32.34	$32.34	$290.39
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.05 / $258.97 / $424.05	Professional		$189.05	$258.97	$424.05