Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $735.00 / $4,432.00	Facility		$210.60	$735.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $195.21 / $338.20	Professional		$139.91	$195.21	$338.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $765.19 / $1,587.06 / $3,691.98	Facility		$765.19	$1,587.06	$3,691.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $268.77 / $336.17	Professional		$186.43	$268.77	$336.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.51 / $257.10 / $375.15	Professional		$180.51	$257.10	$375.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $286.64 / $862.00	Professional		$191.10	$286.64	$862.00
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 $183.03 / $195.56 / $248.24	Professional		$183.03	$195.56	$248.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $286.43	Professional		$32.34	$32.34	$286.43
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $279.60 / $503.51	Professional		$195.80	$279.60	$503.51