Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.42 / $1,055.00 / $4,634.00	Facility		$265.42	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $162.79 / $299.22	Professional		$116.61	$162.79	$299.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.89 / $1,468.39 / $3,202.75	Facility		$835.89	$1,468.39	$3,202.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $252.54 / $336.60	Professional		$172.32	$252.54	$336.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.50 / $198.15 / $908.00	Facility		$177.50	$198.15	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $225.40 / $353.59	Professional		$148.65	$225.40	$353.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $290.42 / $615.82	Professional		$184.81	$290.42	$615.82
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 $149.90 / $171.67 / $257.33	Professional		$149.90	$171.67	$257.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $290.99	Professional		$32.34	$32.34	$290.99
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $243.65 / $396.71	Professional		$164.75	$243.65	$396.71