Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.39 / $1,055.00 / $4,634.00	Facility		$122.39	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $126.56 / $235.80	Professional		$62.77	$126.56	$235.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.16 / $1,099.25 / $1,978.85	Facility		$271.16	$1,099.25	$1,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $165.53 / $277.56	Professional		$75.45	$165.53	$277.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $400.00 / $908.00	Facility		$109.44	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $161.85 / $292.01	Professional		$75.36	$161.85	$292.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $226.95 / $610.29	Professional		$90.55	$226.95	$610.29
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 $76.06 / $81.64 / $218.96	Professional		$76.06	$81.64	$218.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.59	Professional		$32.34	$32.34	$247.59
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 $134.59 / $191.79 / $335.29	Professional		$134.59	$191.79	$335.29