Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.09 / $1,129.00 / $5,389.00	Facility		$177.09	$1,129.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $141.13 / $236.68	Professional		$88.21	$141.13	$236.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.55 / $993.04 / $1,988.56	Facility		$455.55	$993.04	$1,988.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $158.51 / $253.31	Professional		$103.23	$158.51	$253.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $153.58 / $153.58	Facility		$153.58	$153.58	$153.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $167.42 / $290.14	Professional		$103.55	$167.42	$290.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $213.47 / $503.46	Professional		$122.22	$213.47	$503.46
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 $105.31 / $113.49 / $198.52	Professional		$105.31	$113.49	$198.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $224.48	Professional		$32.34	$32.34	$224.48
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $201.87 / $320.72	Professional		$142.13	$201.87	$320.72