Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.09 / $1,272.00 / $5,430.00	Facility		$219.09	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $121.83 / $219.09	Professional		$103.44	$121.83	$219.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.63 / $1,335.44 / $2,674.21	Facility		$612.63	$1,335.44	$2,674.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.40 / $165.81 / $207.07	Professional		$138.40	$165.81	$207.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $587.00 / $908.00	Facility		$127.87	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $171.25 / $251.31	Professional		$116.06	$171.25	$251.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $193.01 / $604.72	Professional		$127.47	$193.01	$604.72
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 $125.26 / $146.72 / $164.91	Professional		$125.26	$146.72	$164.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $186.47	Professional		$32.34	$32.34	$186.47
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 $113.89 / $156.77 / $268.50	Professional		$113.89	$156.77	$268.50