Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.53 / $1,129.00 / $5,091.00	Facility		$175.53	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $203.18 / $394.71	Professional		$95.96	$203.18	$394.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.06 / $1,363.00 / $2,238.05	Facility		$962.06	$1,363.00	$2,238.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.49 / $236.73 / $399.29	Professional		$110.49	$236.73	$399.29
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 $100.34 / $231.59 / $417.08	Professional		$100.34	$231.59	$417.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.52 / $309.23 / $785.96	Professional		$108.52	$309.23	$785.96
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 $117.34 / $117.52 / $304.62	Professional		$117.34	$117.52	$304.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.45	Professional		$32.34	$32.34	$344.45
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,435.00 / $4,780.00	Facility		$897.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.96 / $301.95 / $506.26	Professional		$218.96	$301.95	$506.26