Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $341.30 / $1,842.00	Facility		$127.98	$341.30	$1,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $117.34 / $252.49	Professional		$75.34	$117.34	$252.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $836.42 / $1,824.35	Facility		$330.07	$836.42	$1,824.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $125.48 / $203.84	Professional		$90.74	$125.48	$203.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $126.47 / $480.00	Facility		$113.28	$126.47	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $135.04 / $219.52	Professional		$88.83	$135.04	$219.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $161.41 / $478.12	Professional		$105.39	$161.41	$478.12
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 $96.33 / $97.86 / $137.15	Professional		$96.33	$97.86	$137.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $158.25	Professional		$32.34	$32.34	$158.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $148.30 / $243.56	Professional		$99.08	$148.30	$243.56