Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.03 / $988.00 / $5,091.00	Facility		$171.03	$988.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $215.32 / $389.33	Professional		$120.42	$215.32	$389.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.01 / $2,084.56 / $3,574.90	Facility		$933.01	$2,084.56	$3,574.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.97 / $268.42 / $383.72	Professional		$173.97	$268.42	$383.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $247.61 / $386.84	Professional		$153.97	$247.61	$386.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $303.41 / $645.80	Professional		$173.73	$303.41	$645.80
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 $179.35 / $180.34 / $286.83	Professional		$179.35	$180.34	$286.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $330.96	Professional		$32.34	$32.34	$330.96
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $313.35 / $489.52	Professional		$214.19	$313.35	$489.52