Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.01 / $813.00 / $5,389.00	Facility		$256.01	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $223.82 / $406.26	Professional		$130.69	$223.82	$406.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.06 / $761.60 / $2,650.46	Facility		$346.06	$761.60	$2,650.46
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 $151.47 / $268.36 / $478.72	Professional		$151.47	$268.36	$478.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $376.77 / $800.45	Professional		$197.67	$376.77	$800.45
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 $171.07 / $183.55 / $368.32	Professional		$171.07	$183.55	$368.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $416.48	Professional		$32.34	$32.34	$416.48
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 $186.21 / $285.52 / $524.95	Professional		$186.21	$285.52	$524.95