Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.99 / $923.00 / $5,430.00	Facility		$165.99	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $142.49 / $254.76	Professional		$83.70	$142.49	$254.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.21 / $857.64 / $1,870.63	Facility		$488.21	$857.64	$1,870.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $186.52 / $298.27	Professional		$111.52	$186.52	$298.27
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 $99.84 / $172.40 / $293.25	Professional		$99.84	$172.40	$293.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $245.53 / $391.53	Professional		$120.00	$245.53	$391.53
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 $113.39 / $119.44 / $238.26	Professional		$113.39	$119.44	$238.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $269.42	Professional		$32.34	$32.34	$269.42
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $209.21 / $390.66	Professional		$130.71	$209.21	$390.66