Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.05 / $1,379.00 / $5,389.00	Facility		$162.05	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $87.15 / $162.05	Professional		$66.50	$87.15	$162.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.94 / $754.84 / $1,755.99	Facility		$363.94	$754.84	$1,755.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $125.87 / $148.54	Professional		$90.04	$125.87	$148.54
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 $89.21 / $125.69 / $216.06	Professional		$89.21	$125.69	$216.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $139.81 / $385.27	Professional		$92.17	$139.81	$385.27
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 $95.77 / $100.97 / $108.93	Professional		$95.77	$100.97	$108.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.69	Professional		$32.34	$32.34	$125.69
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 $88.06 / $140.44 / $214.73	Professional		$88.06	$140.44	$214.73