Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.26 / $591.66 / $3,636.00	Facility		$178.26	$591.66	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $226.45 / $521.12	Professional		$97.13	$226.45	$521.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.96 / $1,108.98 / $2,579.82	Facility		$167.96	$1,108.98	$2,579.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $339.78 / $612.79	Professional		$131.36	$339.78	$612.79
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 $126.16 / $257.64 / $565.41	Professional		$126.16	$257.64	$565.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $453.23 / $770.73	Professional		$150.97	$453.23	$770.73
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 $122.46 / $136.72 / $459.39	Professional		$122.46	$136.72	$459.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $530.07	Professional		$32.34	$32.34	$530.07
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $409.16 / $836.60	Professional		$272.08	$409.16	$836.60