Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.47 / $1,207.00 / $5,091.00	Facility		$235.47	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $202.95 / $340.88	Professional		$120.31	$202.95	$340.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.64 / $2,144.98 / $3,158.76	Facility		$966.64	$2,144.98	$3,158.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.03 / $248.34 / $398.80	Professional		$151.03	$248.34	$398.80
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 $129.71 / $218.18 / $362.18	Professional		$129.71	$218.18	$362.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $290.87 / $513.70	Professional		$163.60	$290.87	$513.70
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 $145.60 / $151.91 / $268.62	Professional		$145.60	$151.91	$268.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.95	Professional		$32.34	$32.34	$309.95
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 $204.63 / $288.42 / $528.77	Professional		$204.63	$288.42	$528.77