Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.25 / $1,055.00 / $5,091.00	Facility		$165.25	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $156.34 / $239.93	Professional		$87.25	$156.34	$239.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.15 / $1,196.74 / $2,445.12	Facility		$638.15	$1,196.74	$2,445.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $200.18 / $368.92	Professional		$105.69	$200.18	$368.92
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 $96.88 / $163.11 / $275.92	Professional		$96.88	$163.11	$275.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $237.82 / $440.30	Professional		$122.14	$237.82	$440.30
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 $102.30 / $109.66 / $222.79	Professional		$102.30	$109.66	$222.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.07	Professional		$32.34	$32.34	$257.07
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $204.27 / $339.84	Professional		$139.83	$204.27	$339.84