Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.96 / $1,289.00 / $5,389.00	Facility		$142.96	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $101.78 / $214.00	Professional		$66.48	$101.78	$214.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.37 / $997.60 / $1,997.69	Facility		$466.37	$997.60	$1,997.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $124.48 / $147.32	Professional		$92.56	$124.48	$147.32
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 $82.30 / $109.93 / $158.83	Professional		$82.30	$109.93	$158.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $130.29 / $698.19	Professional		$89.57	$130.29	$698.19
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 $86.85 / $96.38 / $105.86	Professional		$86.85	$96.38	$105.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.15	Professional		$32.34	$32.34	$122.15
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $109.99 / $206.19	Professional		$81.89	$109.99	$206.19