Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.62 / $973.00 / $5,091.00	Facility		$207.62	$973.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $204.37 / $349.42	Professional		$116.15	$204.37	$349.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.43 / $2,012.48 / $5,442.83	Facility		$496.43	$2,012.48	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $219.69 / $358.64	Professional		$138.79	$219.69	$358.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $400.00 / $908.00	Facility		$203.80	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $221.63 / $404.49	Professional		$135.76	$221.63	$404.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $305.50 / $640.52	Professional		$161.83	$305.50	$640.52
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 $147.24 / $150.27 / $287.51	Professional		$147.24	$150.27	$287.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.11	Professional		$32.34	$32.34	$325.11
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 $199.66 / $271.87 / $460.16	Professional		$199.66	$271.87	$460.16