Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.69 / $1,055.00 / $5,091.00	Facility		$264.69	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $199.10 / $377.34	Professional		$142.47	$199.10	$377.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.56 / $2,229.44 / $3,573.18	Facility		$932.56	$2,229.44	$3,573.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.26 / $292.38 / $384.89	Professional		$192.26	$292.38	$384.89
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 $186.51 / $266.05 / $397.09	Professional		$186.51	$266.05	$397.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $322.32 / $770.71	Professional		$207.52	$322.32	$770.71
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 $192.40 / $202.41 / $294.98	Professional		$192.40	$202.41	$294.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $340.37	Professional		$32.34	$32.34	$340.37
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 $214.08 / $303.04 / $468.36	Professional		$214.08	$303.04	$468.36