Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.02 / $1,289.00 / $5,389.00	Facility		$223.02	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $124.35 / $223.02	Professional		$96.96	$124.35	$223.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.11 / $1,301.91 / $2,839.63	Facility		$741.11	$1,301.91	$2,839.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $202.20 / $338.25	Professional		$156.05	$202.20	$338.25
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 $114.17 / $181.72 / $245.55	Professional		$114.17	$181.72	$245.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $204.00 / $571.57	Professional		$134.60	$204.00	$571.57
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 $125.65 / $151.54 / $174.98	Professional		$125.65	$151.54	$174.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.90	Professional		$32.34	$32.34	$201.90
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.10 / $157.71 / $266.61	Professional		$117.10	$157.71	$266.61