Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $1,271.66 / $4,961.00	Facility		$132.91	$1,271.66	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $115.70 / $212.20	Professional		$63.85	$115.70	$212.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.17 / $838.88 / $1,679.85	Facility		$392.17	$838.88	$1,679.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $136.18 / $224.65	Professional		$73.06	$136.18	$224.65
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 $76.45 / $135.09 / $229.50	Professional		$76.45	$135.09	$229.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $187.95 / $1,171.51	Professional		$85.84	$187.95	$1,171.51
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 $71.54 / $76.78 / $167.10	Professional		$71.54	$76.78	$167.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $188.95	Professional		$32.34	$32.34	$188.95
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 $129.16 / $190.73 / $295.02	Professional		$129.16	$190.73	$295.02