Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $1,272.00 / $6,238.10	Facility		$158.63	$1,272.00	$6,238.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $158.63 / $311.27	Professional		$76.28	$158.63	$311.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.72 / $1,162.25 / $2,189.19	Facility		$827.72	$1,162.25	$2,189.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $206.21 / $340.17	Professional		$125.51	$206.21	$340.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $723.35 / $807.53	Facility		$463.00	$723.35	$807.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $191.28 / $342.68	Professional		$99.29	$191.28	$342.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $275.70 / $645.70	Professional		$125.12	$275.70	$645.70
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 $102.78 / $123.47 / $261.61	Professional		$102.78	$123.47	$261.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $295.82	Professional		$32.34	$32.34	$295.82
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,648.00 / $4,183.00	Facility		$807.00	$1,648.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.71 / $252.56 / $416.70	Professional		$174.71	$252.56	$416.70