Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.80 / $348.96 / $5,405.00	Facility		$139.80	$348.96	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $129.56 / $229.73	Professional		$81.40	$129.56	$229.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.24 / $1,049.58 / $2,100.63	Facility		$548.24	$1,049.58	$2,100.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $146.61 / $211.37	Professional		$105.44	$146.61	$211.37
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 $112.72 / $165.91 / $258.58	Professional		$112.72	$165.91	$258.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $191.15 / $544.24	Professional		$121.83	$191.15	$544.24
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 $107.37 / $113.13 / $168.49	Professional		$107.37	$113.13	$168.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.42	Professional		$32.34	$32.34	$194.42
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $192.77 / $286.02	Professional		$130.53	$192.77	$286.02