Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.57 / $1,225.00 / $5,091.00	Facility		$196.57	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $166.91 / $283.52	Professional		$95.81	$166.91	$283.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,083.72 / $2,401.44 / $3,875.29	Facility		$1,083.72	$2,401.44	$3,875.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $194.89 / $301.89	Professional		$125.91	$194.89	$301.89
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 $114.17 / $183.06 / $313.17	Professional		$114.17	$183.06	$313.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $230.82 / $466.64	Professional		$123.65	$230.82	$466.64
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 $133.33 / $134.11 / $228.72	Professional		$133.33	$134.11	$228.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $258.63	Professional		$32.34	$32.34	$258.63
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 $150.62 / $204.04 / $361.42	Professional		$150.62	$204.04	$361.42