Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $813.00 / $4,500.00	Facility		$139.50	$813.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $224.40 / $402.14	Professional		$128.88	$224.40	$402.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.53 / $774.65 / $2,700.80	Facility		$477.53	$774.65	$2,700.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $246.04 / $412.55	Professional		$160.03	$246.04	$412.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $322.24 / $1,000.00	Facility		$233.79	$322.24	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $252.19 / $455.25	Professional		$144.11	$252.19	$455.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.90 / $344.07 / $665.01	Professional		$179.90	$344.07	$665.01
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 $165.36 / $173.46 / $324.04	Professional		$165.36	$173.46	$324.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $366.41	Professional		$32.34	$32.34	$366.41
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 $220.11 / $300.08 / $512.39	Professional		$220.11	$300.08	$512.39