Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $924.63 / $4,634.00	Facility		$112.77	$924.63	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $147.22 / $251.20	Professional		$100.26	$147.22	$251.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,143.91 / $1,811.40 / $2,661.08	Facility		$1,143.91	$1,811.40	$2,661.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $208.41 / $296.17	Professional		$126.03	$208.41	$296.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $170.92 / $266.86	Professional		$118.88	$170.92	$266.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $222.99 / $497.80	Professional		$138.01	$222.99	$497.80
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 $122.20 / $127.49 / $198.24	Professional		$122.20	$127.49	$198.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $228.74	Professional		$32.34	$32.34	$228.74
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $207.61 / $314.52	Professional		$146.69	$207.61	$314.52