Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.93 / $1,169.00 / $4,634.00	Facility		$168.93	$1,169.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $178.99 / $357.49	Professional		$80.30	$178.99	$357.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.96 / $1,263.68 / $2,095.90	Facility		$900.96	$1,263.68	$2,095.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $236.83 / $390.67	Professional		$113.97	$236.83	$390.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $192.35 / $379.54	Professional		$99.78	$192.35	$379.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $312.55 / $946.14	Professional		$125.00	$312.55	$946.14
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 $112.93 / $117.91 / $293.42	Professional		$112.93	$117.91	$293.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $331.79	Professional		$32.34	$32.34	$331.79
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,900.00 / $4,256.00	Facility		$807.00	$1,900.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.74 / $271.36 / $447.37	Professional		$187.74	$271.36	$447.37