Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.74 / $1,094.00 / $4,634.00	Facility		$192.74	$1,094.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $116.41 / $244.76	Professional		$92.97	$116.41	$244.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $102.41 / $102.41 / $120.84	Professional	52	$102.41	$102.41	$120.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.17 / $1,201.11 / $2,619.81	Facility		$406.17	$1,201.11	$2,619.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $188.55 / $242.59	Professional		$145.52	$188.55	$242.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.38 / $181.27 / $908.00	Facility		$162.38	$181.27	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $174.81 / $244.10	Professional		$115.19	$174.81	$244.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $209.30 / $436.32	Professional		$143.04	$209.30	$436.32
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 $129.62 / $143.04 / $187.69	Professional		$129.62	$143.04	$187.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $212.24	Professional		$32.34	$32.34	$212.24
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 $112.71 / $160.18 / $269.91	Professional		$112.71	$160.18	$269.91