Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.01 / $1,471.00 / $5,091.00	Facility		$202.01	$1,471.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $163.72 / $268.51	Professional		$108.49	$163.72	$268.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,247.52 / $2,707.69 / $5,860.30	Facility		$1,247.52	$2,707.69	$5,860.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $208.44 / $325.13	Professional		$139.83	$208.44	$325.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $197.00 / $290.76	Professional		$123.68	$197.00	$290.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $244.80 / $522.74	Professional		$150.60	$244.80	$522.74
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 $134.03 / $139.84 / $219.38	Professional		$134.03	$139.84	$219.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.13	Professional		$32.34	$32.34	$253.13
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 $162.04 / $230.77 / $420.74	Professional		$162.04	$230.77	$420.74