Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $3,090.30 / $8,511.38	Facility		$158.49	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $177.83	Professional		$75.86	$87.10	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $1,862.09	Facility		$363.08	$977.24	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $151.36	Professional		$102.33	$123.03	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $186.21	Professional		$83.18	$120.23	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $263.03 / $446.68	Professional		$97.72	$263.03	$446.68
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 $91.20 / $107.15 / $120.23	Professional		$91.20	$107.15	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $7,413.10	Facility		$562.34	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $177.83	Professional		$79.43	$112.20	$177.83