Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $930.00 / $4,769.42	Facility		$0.59	$930.00	$4,769.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.43 / $291.89 / $3,348.31	Professional		$190.43	$291.89	$3,348.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,137.89 / $2,434.00 / $4,874.08	Facility		$1,137.89	$2,434.00	$4,874.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.95 / $309.95 / $376.72	Professional		$259.95	$309.95	$376.72
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 $218.11 / $297.07 / $440.96	Professional		$218.11	$297.07	$440.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $364.95 / $1,089.83	Professional		$219.50	$364.95	$1,089.83
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 $248.13 / $273.42 / $301.70	Professional		$248.13	$273.42	$301.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $348.12	Professional		$32.34	$32.34	$348.12
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 $207.01 / $292.39 / $495.23	Professional		$207.01	$292.39	$495.23