Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.76 / $1,379.00 / $5,389.00	Facility		$235.76	$1,379.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $124.34 / $235.76	Professional		$98.24	$124.34	$235.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.63 / $1,165.96 / $2,712.38	Facility		$384.63	$1,165.96	$2,712.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $184.38 / $215.05	Professional		$130.36	$184.38	$215.05
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 $130.69 / $184.11 / $258.85	Professional		$130.69	$184.11	$258.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $202.41 / $705.42	Professional		$135.01	$202.41	$705.42
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 $135.41 / $146.19 / $159.56	Professional		$135.41	$146.19	$159.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.11	Professional		$32.34	$32.34	$184.11
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 $133.29 / $195.00 / $326.60	Professional		$133.29	$195.00	$326.60