Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.45 / $1,289.00 / $5,389.00	Facility		$337.45	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $277.81 / $460.96	Professional		$83.25	$277.81	$460.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.69 / $471.56 / $1,762.01	Facility		$290.69	$471.56	$1,762.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $305.33 / $540.10	Professional		$103.98	$305.33	$540.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $400.00 / $908.00	Facility		$148.19	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $262.36 / $586.08	Professional		$98.74	$262.36	$586.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $450.45 / $1,764.91	Professional		$123.90	$450.45	$1,764.91
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 $101.01 / $111.61 / $428.04	Professional		$101.01	$111.61	$428.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $484.01	Professional		$32.34	$32.34	$484.01
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $422.86 / $698.63	Professional		$149.57	$422.86	$698.63