Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.28 / $1,289.00 / $5,389.00	Facility		$344.28	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $188.33 / $373.54	Professional		$138.47	$188.33	$373.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,864.81 / $4,338.12	Facility		$396.36	$1,864.81	$4,338.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.63 / $299.61 / $322.26	Professional		$228.63	$299.61	$322.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $351.00 / $624.00	Facility		$351.00	$351.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.88 / $275.56 / $380.97	Professional		$182.88	$275.56	$380.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $320.98 / $974.31	Professional		$204.19	$320.98	$974.31
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 $196.63 / $233.64 / $265.36	Professional		$196.63	$233.64	$265.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $306.18	Professional		$32.34	$32.34	$306.18
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $276.54 / $417.67	Professional		$186.94	$276.54	$417.67