Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.18 / $1,159.00 / $5,389.00	Facility		$211.18	$1,159.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.73 / $240.00 / $473.84	Professional		$110.73	$240.00	$473.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,210.06 / $2,639.29	Facility		$411.32	$1,210.06	$2,639.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $279.11 / $470.76	Professional		$132.87	$279.11	$470.76
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 $119.64 / $271.12 / $470.99	Professional		$119.64	$271.12	$470.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $359.61 / $808.23	Professional		$124.34	$359.61	$808.23
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 $139.82 / $141.38 / $358.97	Professional		$139.82	$141.38	$358.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $405.91	Professional		$32.34	$32.34	$405.91
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 $149.86 / $328.70 / $576.82	Professional		$149.86	$328.70	$576.82