Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.79 / $1,089.23 / $4,500.00	Facility		$124.79	$1,089.23	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $431.44 / $879.49	Professional		$63.26	$431.44	$879.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.28 / $1,125.13 / $1,978.85	Facility		$438.28	$1,125.13	$1,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $323.69 / $1,000.73	Professional		$76.52	$323.69	$1,000.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $785.00 / $1,077.53	Facility		$111.23	$785.00	$1,077.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $196.81 / $1,086.70	Professional		$77.15	$196.81	$1,086.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $788.25 / $1,173.41	Professional		$90.45	$788.25	$1,173.41
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 $77.31 / $82.90 / $793.65	Professional		$77.31	$82.90	$793.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $897.44	Professional		$32.34	$32.34	$897.44
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 $527.77 / $767.34 / $1,409.37	Professional		$527.77	$767.34	$1,409.37