Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.65 / $988.00 / $4,634.00	Facility		$198.65	$988.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $177.91 / $343.36	Professional		$104.01	$177.91	$343.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.34 / $913.06 / $2,114.41	Facility		$337.34	$913.06	$2,114.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $188.89 / $308.36	Professional		$123.56	$188.89	$308.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $300.00 / $1,000.00	Facility		$180.95	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $192.32 / $345.92	Professional		$120.99	$192.32	$345.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $265.08 / $567.12	Professional		$144.12	$265.08	$567.12
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 $129.03 / $133.82 / $247.04	Professional		$129.03	$133.82	$247.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $279.33	Professional		$32.34	$32.34	$279.33
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $843.00 / $3,399.00	Facility		$204.00	$843.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $224.09 / $381.14	Professional		$165.65	$224.09	$381.14