Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.96 / $1,129.00 / $4,634.00	Facility		$159.96	$1,129.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $201.66 / $405.24	Professional		$81.53	$201.66	$405.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.66 / $1,187.97 / $1,767.70	Facility		$583.66	$1,187.97	$1,767.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $284.04 / $476.25	Professional		$103.62	$284.04	$476.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $480.00 / $1,000.00	Facility		$143.87	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $186.74 / $479.40	Professional		$93.03	$186.74	$479.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $376.43 / $709.53	Professional		$118.13	$376.43	$709.53
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 $96.42 / $109.69 / $379.00	Professional		$96.42	$109.69	$379.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $428.56	Professional		$32.34	$32.34	$428.56
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 $234.76 / $322.70 / $582.05	Professional		$234.76	$322.70	$582.05