Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.56 / $1,363.00 / $5,091.00	Facility		$207.56	$1,363.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $108.35 / $201.79	Professional		$100.33	$108.35	$201.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.01 / $1,266.53 / $2,071.31	Facility		$687.01	$1,266.53	$2,071.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $144.13 / $186.83	Professional		$120.30	$144.13	$186.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $480.00 / $1,000.00	Facility		$120.58	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $157.37 / $237.76	Professional		$110.78	$157.37	$237.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $176.43 / $384.31	Professional		$121.30	$176.43	$384.31
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 $123.94 / $132.38 / $143.35	Professional		$123.94	$132.38	$143.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.10	Professional		$32.34	$32.34	$162.10
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 $106.63 / $156.36 / $245.35	Professional		$106.63	$156.36	$245.35