Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.26 / $1,365.00 / $5,091.00	Facility		$197.26	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $110.77 / $197.26	Professional		$95.72	$110.77	$197.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.80 / $2,029.16 / $4,602.53	Facility		$711.80	$2,029.16	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $152.79 / $190.51	Professional		$127.53	$152.79	$190.51
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 $92.48 / $157.80 / $247.18	Professional		$92.48	$157.80	$247.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $175.34 / $501.11	Professional		$114.24	$175.34	$501.11
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 $118.03 / $135.01 / $151.96	Professional		$118.03	$135.01	$151.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.83	Professional		$32.34	$32.34	$171.83
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 $99.22 / $142.63 / $240.75	Professional		$99.22	$142.63	$240.75