Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $973.00 / $4,634.00	Facility		$154.36	$973.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $231.24 / $407.54	Professional		$141.16	$231.24	$407.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.64 / $2,280.10 / $3,609.58	Facility		$1,551.64	$2,280.10	$3,609.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $294.20 / $496.54	Professional		$185.24	$294.20	$496.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.66 / $364.68 / $480.00	Facility		$326.66	$364.68	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $272.52 / $456.53	Professional		$159.41	$272.52	$456.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $354.59 / $525.32	Professional		$200.00	$354.59	$525.32
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 $184.00 / $194.75 / $341.46	Professional		$184.00	$194.75	$341.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $386.11	Professional		$32.34	$32.34	$386.11
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.33 / $316.95 / $543.63	Professional		$233.33	$316.95	$543.63