Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $440.73 / $4,634.00	Facility		$195.72	$440.73	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $192.18 / $368.14	Professional		$131.83	$192.18	$368.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $712.65 / $2,692.47	Facility		$277.55	$712.65	$2,692.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $217.82 / $322.16	Professional		$158.81	$217.82	$322.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.21 / $300.00 / $1,000.00	Facility		$213.21	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $226.44 / $378.27	Professional		$145.72	$226.44	$378.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.14 / $277.42 / $636.85	Professional		$173.14	$277.42	$636.85
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 $162.91 / $170.65 / $258.82	Professional		$162.91	$170.65	$258.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.66	Professional		$32.34	$32.34	$292.66
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 $183.26 / $253.68 / $419.25	Professional		$183.26	$253.68	$419.25