Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $849.00 / $3,851.10	Facility		$202.82	$849.00	$3,851.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $178.07 / $278.80	Professional		$140.82	$178.07	$278.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,528.04 / $3,316.56 / $5,402.48	Facility		$1,528.04	$3,316.56	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.83 / $289.88 / $341.09	Professional		$185.83	$289.88	$341.09
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 $163.19 / $238.78 / $331.32	Professional		$163.19	$238.78	$331.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $274.67 / $523.54	Professional		$188.84	$274.67	$523.54
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 $184.09 / $192.87 / $246.49	Professional		$184.09	$192.87	$246.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.42	Professional		$32.34	$32.34	$284.42
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $231.35 / $357.71	Professional		$153.22	$231.35	$357.71