Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.11 / $1,207.00 / $9,523.19	Facility		$106.11	$1,207.00	$9,523.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $98.69 / $175.02	Professional		$60.64	$98.69	$175.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.40 / $1,152.75 / $1,630.12	Facility		$396.40	$1,152.75	$1,630.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $128.29 / $194.52	Professional		$80.70	$128.29	$194.52
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 $74.23 / $118.58 / $188.95	Professional		$74.23	$118.58	$188.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $151.76 / $345.40	Professional		$90.38	$151.76	$345.40
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 $76.18 / $83.93 / $140.91	Professional		$76.18	$83.93	$140.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.60	Professional		$32.34	$32.34	$162.60
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 $93.41 / $129.49 / $209.18	Professional		$93.41	$129.49	$209.18