Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.05 / $1,159.00 / $4,634.00	Facility		$154.05	$1,159.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $187.66 / $410.76	Professional		$77.65	$187.66	$410.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.91 / $1,649.66 / $4,602.53	Facility		$539.91	$1,649.66	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $267.62 / $448.74	Professional		$94.72	$267.62	$448.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $480.00 / $2,720.17	Facility		$136.18	$480.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $195.06 / $458.20	Professional		$86.38	$195.06	$458.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $354.68 / $562.27	Professional		$109.93	$354.68	$562.27
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 $93.65 / $102.08 / $355.06	Professional		$93.65	$102.08	$355.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $401.49	Professional		$32.34	$32.34	$401.49
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 $224.07 / $312.22 / $551.64	Professional		$224.07	$312.22	$551.64