Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $1,289.00 / $5,389.00	Facility		$128.97	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.93 / $71.06 / $129.47	Professional		$68.93	$71.06	$129.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.36 / $1,802.27 / $3,480.71	Facility		$830.36	$1,802.27	$3,480.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $135.54 / $158.66	Professional		$84.28	$135.54	$158.66
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 $67.40 / $109.61 / $195.59	Professional		$67.40	$109.61	$195.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $120.33 / $345.40	Professional		$80.38	$120.33	$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 $81.80 / $86.91 / $94.99	Professional		$81.80	$86.91	$94.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $109.61	Professional		$32.34	$32.34	$109.61
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.17 / $101.10 / $187.95	Professional		$71.17	$101.10	$187.95