Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $1,207.00 / $4,634.00	Facility		$170.56	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $180.94 / $303.76	Professional		$87.71	$180.94	$303.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.40 / $1,470.70 / $2,105.50	Facility		$616.40	$1,470.70	$2,105.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $226.91 / $355.57	Professional		$110.05	$226.91	$355.57
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 $106.62 / $203.30 / $385.78	Professional		$106.62	$203.30	$385.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $293.87 / $691.79	Professional		$125.57	$293.87	$691.79
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 $102.52 / $116.60 / $282.98	Professional		$102.52	$116.60	$282.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $319.99	Professional		$32.34	$32.34	$319.99
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 $190.03 / $267.69 / $418.77	Professional		$190.03	$267.69	$418.77