Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.32 / $444.64 / $3,073.00	Facility		$167.32	$444.64	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $164.46 / $313.47	Professional		$96.72	$164.46	$313.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.12 / $1,110.33 / $2,582.98	Facility		$262.12	$1,110.33	$2,582.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $209.98 / $339.52	Professional		$132.82	$209.98	$339.52
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 $117.30 / $189.67 / $303.95	Professional		$117.30	$189.67	$303.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $264.85 / $525.19	Professional		$147.94	$264.85	$525.19
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 $129.90 / $137.38 / $246.96	Professional		$129.90	$137.38	$246.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.95	Professional		$32.34	$32.34	$284.95
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 $137.93 / $219.27 / $394.36	Professional		$137.93	$219.27	$394.36