Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.95 / $1,169.00 / $5,091.00	Facility		$209.95	$1,169.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $171.17 / $286.10	Professional		$128.05	$171.17	$286.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.63 / $1,625.50 / $3,017.75	Facility		$1,157.63	$1,625.50	$3,017.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $233.33 / $286.83	Professional		$149.96	$233.33	$286.83
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 $137.09 / $212.02 / $360.87	Professional		$137.09	$212.02	$360.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $235.27 / $621.67	Professional		$135.85	$235.27	$621.67
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 $156.99 / $160.55 / $215.33	Professional		$156.99	$160.55	$215.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.49	Professional		$32.34	$32.34	$243.49
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 $149.00 / $196.95 / $384.64	Professional		$149.00	$196.95	$384.64