Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $1,129.00 / $5,091.00	Facility		$258.60	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $201.25 / $338.98	Professional		$152.99	$201.25	$338.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.32 / $1,705.76 / $3,720.49	Facility		$411.32	$1,705.76	$3,720.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $287.38 / $355.93	Professional		$184.58	$287.38	$355.93
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 $168.85 / $258.38 / $431.18	Professional		$168.85	$258.38	$431.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $289.79 / $766.21	Professional		$164.39	$289.79	$766.21
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 $194.81 / $197.76 / $267.14	Professional		$194.81	$197.76	$267.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $302.07	Professional		$32.34	$32.34	$302.07
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 $191.37 / $262.57 / $484.11	Professional		$191.37	$262.57	$484.11