Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $1,272.00 / $5,519.00	Facility		$145.12	$1,272.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $101.01 / $205.70	Professional		$85.37	$101.01	$205.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.36 / $1,936.57 / $2,771.55	Facility		$920.36	$1,936.57	$2,771.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $149.33 / $170.01	Professional		$111.44	$149.33	$170.01
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 $103.66 / $139.29 / $208.00	Professional		$103.66	$139.29	$208.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $159.18 / $487.15	Professional		$109.44	$159.18	$487.15
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 $113.48 / $117.70 / $129.34	Professional		$113.48	$117.70	$129.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.24	Professional		$32.34	$32.34	$149.24
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,309.00 / $4,780.00	Facility		$815.00	$2,309.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $140.77 / $214.72	Professional		$100.79	$140.77	$214.72