Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.67 / $973.00 / $4,634.00	Facility		$263.67	$973.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $242.05 / $427.91	Professional		$141.57	$242.05	$427.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.62 / $1,930.15 / $2,886.05	Facility		$606.62	$1,930.15	$2,886.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $260.36 / $403.78	Professional		$167.81	$260.36	$403.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.35 / $357.50 / $1,000.00	Facility		$244.35	$357.50	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $260.00 / $467.39	Professional		$161.25	$260.00	$467.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.99 / $357.11 / $759.25	Professional		$194.99	$357.11	$759.25
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 $174.53 / $181.06 / $341.35	Professional		$174.53	$181.06	$341.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.99	Professional		$32.34	$32.34	$385.99
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $320.67 / $546.87	Professional		$234.34	$320.67	$546.87