Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $1,207.00 / $4,634.00	Facility		$159.96	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $173.81 / $291.94	Professional		$80.91	$173.81	$291.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.66 / $1,783.36 / $4,602.53	Facility		$583.66	$1,783.36	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $214.78 / $412.40	Professional		$103.62	$214.78	$412.40
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 $91.13 / $180.47 / $361.55	Professional		$91.13	$180.47	$361.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $274.64 / $670.06	Professional		$115.97	$274.64	$670.06
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 $96.42 / $109.69 / $273.61	Professional		$96.42	$109.69	$273.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.39	Professional		$32.34	$32.34	$309.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,749.00	Facility		$1,183.00	$2,435.00	$4,749.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $245.27 / $408.69	Professional		$167.25	$245.27	$408.69