Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.10 / $1,207.00 / $4,634.00	Facility		$139.10	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $163.19 / $258.95	Professional		$71.12	$163.19	$258.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $1,253.43 / $1,978.85	Facility		$481.38	$1,253.43	$1,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $178.93 / $300.02	Professional		$85.80	$178.93	$300.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $160.69 / $324.33	Professional		$79.04	$160.69	$324.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $241.82 / $555.48	Professional		$99.69	$241.82	$555.48
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 $85.35 / $92.57 / $236.87	Professional		$85.35	$92.57	$236.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $267.85	Professional		$32.34	$32.34	$267.85
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 $154.46 / $228.77 / $390.76	Professional		$154.46	$228.77	$390.76