Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $1,379.00 / $5,389.00	Facility		$219.82	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $123.60 / $219.82	Professional		$114.89	$123.60	$219.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.14 / $1,384.02 / $3,219.66	Facility		$800.14	$1,384.02	$3,219.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $219.89 / $239.24	Professional		$127.05	$219.89	$239.24
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 $120.59 / $160.86 / $240.29	Professional		$120.59	$160.86	$240.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $192.78 / $526.99	Professional		$130.38	$192.78	$526.99
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 $137.47 / $143.21 / $154.10	Professional		$137.47	$143.21	$154.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $177.81	Professional		$32.34	$32.34	$177.81
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $168.83 / $260.89	Professional		$122.26	$168.83	$260.89