Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.62 / $1,129.00 / $4,634.00	Facility		$158.62	$1,129.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $104.46 / $193.45	Professional		$71.81	$104.46	$193.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.54 / $1,083.52 / $2,169.73	Facility		$506.54	$1,083.52	$2,169.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $150.74 / $221.93	Professional		$105.08	$150.74	$221.93
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 $92.07 / $142.09 / $226.76	Professional		$92.07	$142.09	$226.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $191.48 / $400.59	Professional		$115.26	$191.48	$400.59
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 $92.01 / $105.22 / $169.03	Professional		$92.01	$105.22	$169.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $191.13	Professional		$32.34	$32.34	$191.13
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 $110.81 / $160.22 / $256.01	Professional		$110.81	$160.22	$256.01