Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $1,949.00 / $11,141.18	Facility		$270.33	$1,949.00	$11,141.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $177.64 / $318.14	Professional		$140.69	$177.64	$318.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,372.85 / $3,713.04	Facility		$1,081.08	$2,372.85	$3,713.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $273.55 / $295.60	Professional		$189.75	$273.55	$295.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $234.84 / $349.75	Professional		$169.57	$234.84	$349.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $268.38 / $792.33	Professional		$184.51	$268.38	$792.33
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 $184.73 / $198.60 / $218.06	Professional		$184.73	$198.60	$218.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $251.61	Professional		$32.34	$32.34	$251.61
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 $164.91 / $227.89 / $364.93	Professional		$164.91	$227.89	$364.93