Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.27 / $1,225.00 / $5,091.00	Facility		$168.27	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $137.41 / $217.31	Professional		$95.95	$137.41	$217.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.22 / $1,928.33 / $3,875.29	Facility		$870.22	$1,928.33	$3,875.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $159.63 / $210.92	Professional		$102.02	$159.63	$210.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $157.97 / $243.90	Professional		$98.85	$157.97	$243.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $170.81 / $498.96	Professional		$97.22	$170.81	$498.96
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 $105.99 / $109.85 / $157.99	Professional		$105.99	$109.85	$157.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.65	Professional		$32.34	$32.34	$178.65
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $172.69 / $275.95	Professional		$126.80	$172.69	$275.95