Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $1,207.00 / $4,634.00	Facility		$200.62	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $200.62 / $327.77	Professional		$102.04	$200.62	$327.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $2,052.56 / $4,602.53	Facility		$720.00	$2,052.56	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $232.38 / $378.74	Professional		$129.66	$232.38	$378.74
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 $115.32 / $214.96 / $411.58	Professional		$115.32	$214.96	$411.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $308.97 / $856.59	Professional		$147.08	$308.97	$856.59
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 $119.83 / $137.22 / $301.63	Professional		$119.83	$137.22	$301.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $341.07	Professional		$32.34	$32.34	$341.07
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 $194.51 / $287.14 / $461.49	Professional		$194.51	$287.14	$461.49