Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $1,055.00 / $3,636.00	Facility		$112.28	$1,055.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $344.00 / $1,000.25	Professional		$63.13	$344.00	$1,000.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.69 / $1,110.81 / $1,593.04	Facility		$432.69	$1,110.81	$1,593.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $322.47 / $853.51	Professional		$75.27	$322.47	$853.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $864.62 / $1,000.00	Facility		$111.56	$864.62	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $220.00 / $1,082.21	Professional		$75.18	$220.00	$1,082.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $735.36 / $1,312.66	Professional		$92.12	$735.36	$1,312.66
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 $76.31 / $82.59 / $735.36	Professional		$76.31	$82.59	$735.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $831.52	Professional		$32.34	$32.34	$831.52
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 $629.65 / $930.13 / $1,441.15	Professional		$629.65	$930.13	$1,441.15