Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $930.00 / $3,636.00	Facility		$247.00	$930.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $217.71 / $370.50	Professional		$133.62	$217.71	$370.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $1,540.00 / $3,582.50	Facility		$316.91	$1,540.00	$3,582.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.73 / $279.86 / $446.61	Professional		$171.73	$279.86	$446.61
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 $146.66 / $241.57 / $388.57	Professional		$146.66	$241.57	$388.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $325.75 / $681.03	Professional		$184.37	$325.75	$681.03
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 $156.29 / $171.20 / $302.47	Professional		$156.29	$171.20	$302.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $349.01	Professional		$32.34	$32.34	$349.01
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 $219.06 / $292.60 / $464.49	Professional		$219.06	$292.60	$464.49