Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.22 / $1,159.00 / $5,091.00	Facility		$186.22	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $144.63 / $268.81	Professional		$86.62	$144.63	$268.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.72 / $1,164.08 / $2,278.89	Facility		$827.72	$1,164.08	$2,278.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.80 / $184.04 / $285.58	Professional		$121.80	$184.04	$285.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.35 / $807.53 / $908.00	Facility		$723.35	$807.53	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.21 / $178.24 / $288.22	Professional		$113.21	$178.24	$288.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $246.41 / $805.05	Professional		$136.58	$246.41	$805.05
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 $115.79 / $125.11 / $214.02	Professional		$115.79	$125.11	$214.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $242.01	Professional		$32.34	$32.34	$242.01
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $231.71 / $352.26	Professional		$152.31	$231.71	$352.26