Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.78 / $567.28 / $3,221.00	Facility		$166.78	$567.28	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $144.75 / $282.26	Professional		$108.31	$144.75	$282.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,260.64 / $2,932.63	Facility		$396.36	$1,260.64	$2,932.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $230.12 / $273.30	Professional		$153.82	$230.12	$273.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $191.04 / $265.47	Professional		$129.78	$191.04	$265.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $224.72 / $466.08	Professional		$150.00	$224.72	$466.08
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 $150.51 / $158.47 / $198.72	Professional		$150.51	$158.47	$198.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $229.29	Professional		$32.34	$32.34	$229.29
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 $116.61 / $180.53 / $353.78	Professional		$116.61	$180.53	$353.78