Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $471.00 / $3,636.00	Facility		$166.36	$471.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $152.46 / $313.35	Professional		$83.65	$152.46	$313.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.02 / $895.95 / $1,954.18	Facility		$510.02	$895.95	$1,954.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $188.37 / $301.23	Professional		$117.44	$188.37	$301.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $192.43 / $312.70	Professional		$110.09	$192.43	$312.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $257.30 / $764.50	Professional		$131.06	$257.30	$764.50
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 $106.78 / $123.12 / $243.41	Professional		$106.78	$123.12	$243.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $275.24	Professional		$32.34	$32.34	$275.24
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 $154.10 / $232.87 / $373.70	Professional		$154.10	$232.87	$373.70