Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $2,989.00 / $7,407.00	Facility		$89.06	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $88.10 / $105.82	Professional		$74.47	$88.10	$105.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.51 / $556.29 / $2,062.73	Facility		$242.51	$556.29	$2,062.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $120.51 / $159.63	Professional		$74.40	$120.51	$159.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.18 / $1,722.46 / $16,636.00	Facility		$48.18	$1,722.46	$16,636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $115.59 / $175.74	Professional		$79.76	$115.59	$175.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $317.58 / $508.13	Professional		$165.54	$317.58	$508.13
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 $275.24 / $278.98 / $342.45	Professional		$275.24	$278.98	$342.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $3,982.00 / $19,137.00	Facility		$897.00	$3,982.00	$19,137.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $319.10 / $644.08	Professional		$92.25	$319.10	$644.08