Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $321.76 / $5,430.00	Facility		$128.28	$321.76	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $117.70 / $197.11	Professional		$84.49	$117.70	$197.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $975.80 / $2,270.01	Facility		$316.91	$975.80	$2,270.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.33 / $179.56 / $234.10	Professional		$110.33	$179.56	$234.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $144.66 / $212.61	Professional		$93.79	$144.66	$212.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $176.26 / $375.02	Professional		$118.30	$176.26	$375.02
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 $105.91 / $109.85 / $158.24	Professional		$105.91	$109.85	$158.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.58	Professional		$32.34	$32.34	$182.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $166.25 / $278.89	Professional		$114.40	$166.25	$278.89