Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.50 / $988.00 / $5,493.00	Facility		$147.50	$988.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $150.80 / $288.76	Professional		$102.41	$150.80	$288.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.94 / $1,942.31 / $2,905.02	Facility		$991.94	$1,942.31	$2,905.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $197.95 / $282.72	Professional		$140.09	$197.95	$282.72
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 $118.93 / $178.38 / $291.14	Professional		$118.93	$178.38	$291.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $235.40 / $448.02	Professional		$138.19	$235.40	$448.02
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 $142.21 / $148.04 / $226.68	Professional		$142.21	$148.04	$226.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.32	Professional		$32.34	$32.34	$256.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $209.41 / $358.26	Professional		$135.10	$209.41	$358.26