Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $1,272.00 / $5,430.00	Facility		$160.16	$1,272.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $88.61 / $160.16	Professional		$75.26	$88.61	$160.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.57 / $971.28 / $1,944.98	Facility		$445.57	$971.28	$1,944.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $121.79 / $150.26	Professional		$102.18	$121.79	$150.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $587.00 / $908.00	Facility		$93.41	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.79 / $186.34	Professional		$85.11	$125.79	$186.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $146.53 / $386.32	Professional		$94.96	$146.53	$386.32
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 $91.44 / $107.59 / $121.13	Professional		$91.44	$107.59	$121.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $136.97	Professional		$32.34	$32.34	$136.97
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $122.88 / $197.36	Professional		$85.18	$122.88	$197.36