Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.53 / $1,379.00 / $5,091.00	Facility		$146.53	$1,379.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $84.61 / $148.83	Professional		$76.77	$84.61	$148.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $924.73 / $2,007.10 / $3,480.71	Facility		$924.73	$2,007.10	$3,480.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $150.85 / $162.26	Professional		$93.80	$150.85	$162.26
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 $85.19 / $116.10 / $174.44	Professional		$85.19	$116.10	$174.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $134.47 / $345.40	Professional		$89.46	$134.47	$345.40
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 $93.31 / $97.12 / $105.73	Professional		$93.31	$97.12	$105.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.00	Professional		$32.34	$32.34	$122.00
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $117.13 / $172.23	Professional		$81.80	$117.13	$172.23