Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $1,192.00 / $9,809.46	Facility		$195.40	$1,192.00	$9,809.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $183.29 / $342.20	Professional		$106.04	$183.29	$342.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.30 / $1,536.37 / $2,286.12	Facility		$474.30	$1,536.37	$2,286.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $215.03 / $360.55	Professional		$133.10	$215.03	$360.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $300.00 / $1,000.00	Facility		$192.17	$300.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $219.34 / $375.02	Professional		$128.09	$219.34	$375.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $300.70 / $576.47	Professional		$154.56	$300.70	$576.47
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 $134.03 / $143.52 / $284.20	Professional		$134.03	$143.52	$284.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $321.37	Professional		$32.34	$32.34	$321.37
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 $177.28 / $251.27 / $422.21	Professional		$177.28	$251.27	$422.21