Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $1,486.00 / $5,091.00	Facility		$169.19	$1,486.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $128.79 / $245.92	Professional		$112.40	$128.79	$245.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,297.66 / $2,816.52 / $5,402.48	Facility		$1,297.66	$2,816.52	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $215.70 / $254.36	Professional		$160.38	$215.70	$254.36
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 $142.10 / $190.47 / $273.30	Professional		$142.10	$190.47	$273.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $225.74 / $681.20	Professional		$155.19	$225.74	$681.20
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 $151.59 / $166.43 / $183.42	Professional		$151.59	$166.43	$183.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.64	Professional		$32.34	$32.34	$211.64
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 $142.15 / $192.43 / $347.72	Professional		$142.15	$192.43	$347.72