Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.74 / $2,989.00 / $7,123.00	Facility		$254.74	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $161.63 / $278.51	Professional		$107.34	$161.63	$278.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.67 / $3,094.35 / $5,402.48	Facility		$1,425.67	$3,094.35	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.47 / $232.47 / $240.39	Professional		$170.47	$232.47	$240.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.82 / $205.45 / $281.42	Professional		$141.82	$205.45	$281.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.09 / $234.62 / $667.99	Professional		$154.09	$234.62	$667.99
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 $148.38 / $174.29 / $197.85	Professional		$148.38	$174.29	$197.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $228.29	Professional		$32.34	$32.34	$228.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $184.98 / $310.48	Professional		$134.09	$184.98	$310.48