Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.94 / $1,471.00 / $5,389.00	Facility		$173.94	$1,471.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $134.34 / $217.75	Professional		$97.26	$134.34	$217.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.07 / $1,393.60 / $2,496.28	Facility		$1,073.07	$1,393.60	$2,496.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $193.30 / $212.25	Professional		$124.35	$193.30	$212.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $165.07 / $286.32	Professional		$112.55	$165.07	$286.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $179.76 / $430.31	Professional		$107.44	$179.76	$430.31
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 $131.91 / $133.02 / $158.94	Professional		$131.91	$133.02	$158.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.29	Professional		$32.34	$32.34	$166.29
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 $110.56 / $150.03 / $315.45	Professional		$110.56	$150.03	$315.45