Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.77 / $1,278.00 / $5,091.00	Facility		$206.77	$1,278.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $185.97 / $345.86	Professional		$115.09	$185.97	$345.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.01 / $1,961.03 / $2,900.53	Facility		$757.01	$1,961.03	$2,900.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $237.05 / $357.47	Professional		$150.69	$237.05	$357.47
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 $135.01 / $223.73 / $374.47	Professional		$135.01	$223.73	$374.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $291.27 / $568.65	Professional		$166.18	$291.27	$568.65
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 $154.87 / $158.12 / $275.12	Professional		$154.87	$158.12	$275.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $317.45	Professional		$32.34	$32.34	$317.45
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 $203.63 / $276.55 / $434.97	Professional		$203.63	$276.55	$434.97