Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.32 / $1,207.00 / $4,634.00	Facility		$168.32	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $141.75 / $320.57	Professional		$83.21	$141.75	$320.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.79 / $1,413.46 / $2,107.75	Facility		$580.79	$1,413.46	$2,107.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $251.95 / $422.46	Professional		$102.18	$251.95	$422.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $480.00 / $1,231.60	Facility		$148.10	$480.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $190.88 / $405.21	Professional		$99.23	$190.88	$405.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $333.40 / $512.91	Professional		$121.51	$333.40	$512.91
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 $101.79 / $110.68 / $333.40	Professional		$101.79	$110.68	$333.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.00	Professional		$32.34	$32.34	$377.00
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 $114.93 / $179.19 / $324.02	Professional		$114.93	$179.19	$324.02