Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.39 / $1,278.00 / $5,549.00	Facility		$221.39	$1,278.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $139.25 / $252.72	Professional		$108.40	$139.25	$252.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.86 / $1,775.12 / $3,554.67	Facility		$829.86	$1,775.12	$3,554.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.17 / $226.98 / $249.06	Professional		$175.17	$226.98	$249.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $203.99 / $287.08	Professional		$144.56	$203.99	$287.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $234.41 / $625.83	Professional		$145.33	$234.41	$625.83
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 $134.94 / $169.30 / $196.43	Professional		$134.94	$169.30	$196.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $226.65	Professional		$32.34	$32.34	$226.65
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $199.94 / $353.60	Professional		$137.00	$199.94	$353.60