Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.79 / $1,055.00 / $4,634.00	Facility		$186.79	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $190.43 / $346.10	Professional		$96.54	$190.43	$346.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.48 / $1,241.20 / $1,952.90	Facility		$410.48	$1,241.20	$1,952.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $217.60 / $355.24	Professional		$113.85	$217.60	$355.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $400.00 / $908.00	Facility		$166.80	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $219.53 / $395.55	Professional		$113.09	$219.53	$395.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $303.70 / $936.33	Professional		$135.28	$303.70	$936.33
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 $114.62 / $124.03 / $284.54	Professional		$114.62	$124.03	$284.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $321.75	Professional		$32.34	$32.34	$321.75
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 $208.45 / $290.91 / $451.76	Professional		$208.45	$290.91	$451.76