Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.57 / $1,411.00 / $5,091.00	Facility		$132.57	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $114.48 / $180.76	Professional		$70.45	$114.48	$180.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.27 / $1,840.29 / $8,387.73	Facility		$802.27	$1,840.29	$8,387.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $147.82 / $198.79	Professional		$97.41	$147.82	$198.79
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 $93.06 / $140.97 / $216.90	Professional		$93.06	$140.97	$216.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $182.06 / $474.76	Professional		$111.40	$182.06	$474.76
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 $91.51 / $101.37 / $169.05	Professional		$91.51	$101.37	$169.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.06	Professional		$32.34	$32.34	$195.06
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 $100.28 / $154.36 / $252.74	Professional		$100.28	$154.36	$252.74