Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $1,731.00 / $5,091.00	Facility		$223.48	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $116.60 / $220.44	Professional		$96.79	$116.60	$220.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.79 / $1,496.88 / $2,997.50	Facility		$699.79	$1,496.88	$2,997.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.93 / $189.28 / $217.07	Professional		$143.93	$189.28	$217.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $170.26 / $247.86	Professional		$121.19	$170.26	$247.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $198.64 / $527.92	Professional		$138.16	$198.64	$527.92
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 $131.91 / $147.56 / $163.81	Professional		$131.91	$147.56	$163.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.23	Professional		$32.34	$32.34	$185.23
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 $112.33 / $165.50 / $266.19	Professional		$112.33	$165.50	$266.19