Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.56 / $426.92 / $3,270.00	Facility		$194.56	$426.92	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $269.51 / $547.73	Professional		$124.86	$269.51	$547.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $1,520.23 / $3,315.81	Facility		$273.41	$1,520.23	$3,315.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $324.11 / $640.14	Professional		$168.92	$324.11	$640.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.75 / $207.75 / $231.93	Facility		$207.75	$207.75	$231.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $287.72 / $558.30	Professional		$146.13	$287.72	$558.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $444.11 / $768.35	Professional		$197.08	$444.11	$768.35
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 $168.95 / $176.70 / $442.55	Professional		$168.95	$176.70	$442.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $500.42	Professional		$32.34	$32.34	$500.42
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 $255.20 / $354.66 / $591.79	Professional		$255.20	$354.66	$591.79