Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.07 / $1,055.00 / $5,430.00	Facility		$163.07	$1,055.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $148.22 / $239.69	Professional		$102.29	$148.22	$239.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.48 / $2,482.67 / $5,402.48	Facility		$694.48	$2,482.67	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $218.25 / $306.17	Professional		$138.19	$218.25	$306.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $188.33 / $275.64	Professional		$121.92	$188.33	$275.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $238.84 / $451.02	Professional		$147.83	$238.84	$451.02
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 $137.27 / $142.79 / $222.57	Professional		$137.27	$142.79	$222.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.82	Professional		$32.34	$32.34	$256.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,625.00	Facility		$1,282.00	$3,751.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $186.94 / $306.94	Professional		$123.10	$186.94	$306.94