Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $930.00 / $4,432.00	Facility		$172.27	$930.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $164.87 / $283.61	Professional		$126.44	$164.87	$283.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.96 / $939.60 / $2,635.52	Facility		$553.96	$939.60	$2,635.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $227.96 / $284.95	Professional		$153.52	$227.96	$284.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $468.97 / $1,000.00	Facility		$226.65	$468.97	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $210.48 / $331.36	Professional		$142.36	$210.48	$331.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $245.89 / $527.61	Professional		$163.92	$245.89	$527.61
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 $164.10 / $166.74 / $226.72	Professional		$164.10	$166.74	$226.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.37	Professional		$32.34	$32.34	$256.37
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.55 / $225.11 / $382.37	Professional		$164.55	$225.11	$382.37