Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,621.81 / $5,623.41	Facility		$125.89	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $213.80	Professional		$47.86	$117.49	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $794.33 / $1,548.82	Facility		$295.12	$794.33	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $245.47	Professional		$60.26	$131.83	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $302.00	Facility		$87.10	$87.10	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $245.47	Professional		$53.70	$114.82	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $223.87 / $660.69	Professional		$70.79	$223.87	$660.69
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 $60.26 / $63.10 / $162.18	Professional		$60.26	$63.10	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $269.15	Professional		$52.48	$112.20	$269.15