Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.20 / $1,207.00 / $4,634.00	Facility		$183.20	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $185.63 / $301.26	Professional		$96.79	$185.63	$301.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.52 / $1,965.65 / $4,602.53	Facility		$689.52	$1,965.65	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $215.93 / $362.05	Professional		$122.89	$215.93	$362.05
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 $105.58 / $200.50 / $387.64	Professional		$105.58	$200.50	$387.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $293.58 / $731.63	Professional		$137.44	$293.58	$731.63
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 $114.70 / $130.38 / $287.95	Professional		$114.70	$130.38	$287.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.62	Professional		$32.34	$32.34	$325.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $262.97 / $406.09	Professional		$180.19	$262.97	$406.09