Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $813.00 / $5,405.00	Facility		$273.41	$813.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $248.02 / $457.41	Professional		$147.38	$248.02	$457.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.33 / $841.68 / $2,968.14	Facility		$412.33	$841.68	$2,968.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.67 / $330.67 / $565.37	Professional		$196.67	$330.67	$565.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $277.33 / $309.61	Facility		$277.33	$277.33	$309.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $287.57 / $508.99	Professional		$168.14	$287.57	$508.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $411.89 / $967.06	Professional		$215.46	$411.89	$967.06
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 $190.40 / $204.79 / $391.29	Professional		$190.40	$204.79	$391.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $442.46	Professional		$32.34	$32.34	$442.46
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $770.00 / $3,399.00	Facility		$165.00	$770.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $306.75 / $579.54	Professional		$230.91	$306.75	$579.54