Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.93 / $923.00 / $5,091.00	Facility		$254.93	$923.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $241.35 / $415.68	Professional		$156.88	$241.35	$415.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.46 / $2,701.77 / $5,442.83	Facility		$666.46	$2,701.77	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $276.64 / $418.65	Professional		$184.27	$276.64	$418.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $400.00 / $1,300.00	Facility		$271.49	$400.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.55 / $284.16 / $488.50	Professional		$184.55	$284.16	$488.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $356.61 / $763.55	Professional		$209.30	$356.61	$763.55
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 $194.35 / $200.23 / $334.24	Professional		$194.35	$200.23	$334.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.95	Professional		$32.34	$32.34	$377.95
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 $249.98 / $341.59 / $582.88	Professional		$249.98	$341.59	$582.88