Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.83 / $1,437.90 / $4,634.00	Facility		$114.83	$1,437.90	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $836.11 / $1,663.38	Professional		$51.75	$836.11	$1,663.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.01 / $795.76 / $1,593.50	Facility		$372.01	$795.76	$1,593.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $199.29 / $1,726.15	Professional		$61.85	$199.29	$1,726.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $153.96 / $1,418.45	Professional		$67.01	$153.96	$1,418.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $1,112.77 / $2,713.97	Professional		$72.40	$1,112.77	$2,713.97
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 $59.18 / $64.20 / $1,058.27	Professional		$59.18	$64.20	$1,058.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,221.08	Professional		$32.34	$32.34	$1,221.08
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.80 / $1,384.33 / $2,386.16	Professional		$974.80	$1,384.33	$2,386.16