Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.07 / $1,239.00 / $5,091.00	Facility		$238.07	$1,239.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $207.88 / $334.34	Professional		$134.40	$207.88	$334.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,275.18 / $2,734.10 / $3,875.29	Facility		$1,275.18	$2,734.10	$3,875.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.03 / $231.02 / $337.46	Professional		$149.03	$231.02	$337.46
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 $135.72 / $209.82 / $349.33	Professional		$135.72	$209.82	$349.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $256.87 / $559.51	Professional		$142.90	$256.87	$559.51
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 $157.29 / $158.96 / $255.13	Professional		$157.29	$158.96	$255.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $288.49	Professional		$32.34	$32.34	$288.49
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $228.58 / $404.38	Professional		$168.36	$228.58	$404.38