Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.31 / $1,159.00 / $5,091.00	Facility		$243.31	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $212.11 / $364.96	Professional		$127.54	$212.11	$364.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.63 / $1,625.50 / $3,020.76	Facility		$1,157.63	$1,625.50	$3,020.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $233.53 / $371.19	Professional		$150.80	$233.53	$371.19
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 $144.40 / $234.66 / $436.45	Professional		$144.40	$234.66	$436.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $300.61 / $672.54	Professional		$155.53	$300.61	$672.54
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 $157.50 / $160.69 / $281.27	Professional		$157.50	$160.69	$281.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.25	Professional		$32.34	$32.34	$294.25
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 $204.00 / $266.35 / $495.99	Professional		$204.00	$266.35	$495.99