Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.42 / $762.00 / $4,432.00	Facility		$331.42	$762.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $240.41 / $446.49	Professional		$201.37	$240.41	$446.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $2,431.21 / $5,302.81	Facility		$330.07	$2,431.21	$5,302.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $382.47 / $532.29	Professional		$276.60	$382.47	$532.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $362.23 / $529.13	Professional		$246.24	$362.23	$529.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.99 / $416.18 / $891.61	Professional		$292.99	$416.18	$891.61
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 $282.77 / $292.45 / $362.75	Professional		$282.77	$292.45	$362.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $410.19	Professional		$32.34	$32.34	$410.19
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 $241.78 / $334.54 / $556.62	Professional		$241.78	$334.54	$556.62