Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.20 / $1,207.00 / $4,634.00	Facility		$113.20	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $98.62 / $198.11	Professional		$49.35	$98.62	$198.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.76 / $681.84 / $1,365.38	Facility		$318.76	$681.84	$1,365.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $117.21 / $193.35	Professional		$62.47	$117.21	$193.35
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 $62.56 / $113.05 / $195.13	Professional		$62.56	$113.05	$195.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $161.76 / $964.40	Professional		$74.15	$161.76	$964.40
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 $61.92 / $65.86 / $143.61	Professional		$61.92	$65.86	$143.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.38	Professional		$32.34	$32.34	$162.38
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $162.35 / $235.13	Professional		$105.45	$162.35	$235.13