Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.05 / $973.00 / $5,091.00	Facility		$312.05	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $256.61 / $461.22	Professional		$165.13	$256.61	$461.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $3,025.09 / $5,510.44	Facility		$846.21	$3,025.09	$5,510.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.46 / $274.27 / $415.23	Professional		$184.46	$274.27	$415.23
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 $166.67 / $281.55 / $451.37	Professional		$166.67	$281.55	$451.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $349.14 / $744.31	Professional		$194.36	$349.14	$744.31
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 $198.48 / $198.51 / $333.59	Professional		$198.48	$198.51	$333.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $384.92	Professional		$32.34	$32.34	$384.92
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,704.51 / $4,780.00	Facility		$815.00	$2,704.51	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.39 / $381.90 / $639.17	Professional		$254.39	$381.90	$639.17