Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $973.00 / $5,389.00	Facility		$278.13	$973.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $248.83 / $453.23	Professional		$158.97	$248.83	$453.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.38 / $1,721.07 / $3,753.88	Facility		$810.38	$1,721.07	$3,753.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $327.55 / $499.81	Professional		$225.97	$327.55	$499.81
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 $189.18 / $302.60 / $509.99	Professional		$189.18	$302.60	$509.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $402.49 / $825.50	Professional		$222.92	$402.49	$825.50
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 $223.69 / $237.72 / $402.49	Professional		$223.69	$237.72	$402.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $455.13	Professional		$32.34	$32.34	$455.13
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 $232.55 / $349.04 / $615.82	Professional		$232.55	$349.04	$615.82