Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $766.30 / $3,636.00	Facility		$117.09	$766.30	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $117.09 / $273.52	Professional		$71.12	$117.09	$273.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.25 / $990.14 / $1,640.64	Facility		$705.25	$990.14	$1,640.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $143.91 / $211.03	Professional		$99.42	$143.91	$211.03
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 $82.81 / $130.77 / $210.56	Professional		$82.81	$130.77	$210.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $176.72 / $337.77	Professional		$98.08	$176.72	$337.77
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 $101.63 / $104.46 / $170.03	Professional		$101.63	$104.46	$170.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.26	Professional		$32.34	$32.34	$192.26
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $157.80 / $263.00	Professional		$109.04	$157.80	$263.00