Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.85 / $1,055.00 / $5,091.00	Facility		$160.85	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $126.77 / $217.53	Professional		$98.24	$126.77	$217.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $1,183.39 / $2,752.93	Facility		$316.91	$1,183.39	$2,752.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $205.49 / $259.31	Professional		$118.05	$205.49	$259.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $162.41 / $234.44	Professional		$110.53	$162.41	$234.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $195.23 / $596.91	Professional		$131.34	$195.23	$596.91
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 $114.19 / $123.01 / $169.20	Professional		$114.19	$123.01	$169.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.23	Professional		$32.34	$32.34	$195.23
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $848.26 / $3,685.00	Facility		$204.00	$848.26	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $184.05 / $270.37	Professional		$129.53	$184.05	$270.37