Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.36 / $1,055.00 / $5,091.00	Facility		$232.36	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.40 / $196.32 / $326.23	Professional		$139.40	$196.32	$326.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.88 / $1,688.28 / $3,696.99	Facility		$964.88	$1,688.28	$3,696.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.05 / $290.45 / $363.81	Professional		$176.05	$290.45	$363.81
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 $153.05 / $233.76 / $338.56	Professional		$153.05	$233.76	$338.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $273.36 / $794.39	Professional		$187.01	$273.36	$794.39
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 $167.00 / $177.68 / $243.11	Professional		$167.00	$177.68	$243.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $280.52	Professional		$32.34	$32.34	$280.52
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 $183.94 / $238.83 / $425.76	Professional		$183.94	$238.83	$425.76