Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.74 / $755.00 / $5,405.00	Facility		$195.74	$755.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $195.74 / $363.12	Professional		$127.01	$195.74	$363.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,415.81 / $2,229.44 / $3,293.60	Facility		$1,415.81	$2,229.44	$3,293.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.56 / $259.92 / $437.46	Professional		$173.56	$259.92	$437.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.27 / $321.82 / $480.00	Facility		$288.27	$321.82	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $249.68 / $402.21	Professional		$156.01	$249.68	$402.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $333.44 / $615.73	Professional		$195.52	$333.44	$615.73
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 $171.25 / $181.56 / $301.67	Professional		$171.25	$181.56	$301.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $341.11	Professional		$32.34	$32.34	$341.11
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 $193.73 / $264.14 / $456.25	Professional		$193.73	$264.14	$456.25