Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.01 / $1,159.00 / $5,091.00	Facility		$240.01	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $282.00 / $503.38	Professional		$130.51	$282.00	$503.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.63 / $1,625.50 / $2,978.06	Facility		$1,157.63	$1,625.50	$2,978.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $294.91 / $497.41	Professional		$150.06	$294.91	$497.41
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 $145.91 / $289.62 / $543.09	Professional		$145.91	$289.62	$543.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $391.64 / $939.23	Professional		$159.81	$391.64	$939.23
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 $157.35 / $160.11 / $378.50	Professional		$157.35	$160.11	$378.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $427.99	Professional		$32.34	$32.34	$427.99
United Facility/Professional Facility Modifier Low / Median / High Price $807.72 / $2,309.00 / $4,780.00	Facility		$807.72	$2,309.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.42 / $361.52 / $629.28	Professional		$270.42	$361.52	$629.28