Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.96 / $1,094.00 / $5,389.00	Facility		$189.96	$1,094.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $153.88 / $271.70	Professional		$105.76	$153.88	$271.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,143.04 / $2,659.07	Facility		$396.36	$1,143.04	$2,659.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $222.02 / $317.56	Professional		$139.87	$222.02	$317.56
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 $126.76 / $197.81 / $295.56	Professional		$126.76	$197.81	$295.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $255.73 / $545.28	Professional		$157.28	$255.73	$545.28
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 $131.72 / $145.26 / $230.07	Professional		$131.72	$145.26	$230.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.47	Professional		$32.34	$32.34	$265.47
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $219.83 / $347.38	Professional		$155.88	$219.83	$347.38