Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.53 / $1,272.00 / $5,430.00	Facility		$225.53	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $123.56 / $225.53	Professional		$109.53	$123.56	$225.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $1,354.32 / $2,712.02	Facility		$621.29	$1,354.32	$2,712.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $166.98 / $226.78	Professional		$139.38	$166.98	$226.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $587.00 / $908.00	Facility		$129.34	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $185.24 / $276.39	Professional		$118.29	$185.24	$276.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $200.89 / $550.79	Professional		$127.75	$200.89	$550.79
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 $125.40 / $148.07 / $166.08	Professional		$125.40	$148.07	$166.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $187.79	Professional		$32.34	$32.34	$187.79
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $182.23 / $281.97	Professional		$118.81	$182.23	$281.97