Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.24 / $755.00 / $5,493.00	Facility		$178.24	$755.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $170.24 / $284.35	Professional		$117.40	$170.24	$284.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.12 / $2,402.94 / $3,375.08	Facility		$803.12	$2,402.94	$3,375.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $248.04 / $352.03	Professional		$159.82	$248.04	$352.03
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 $138.65 / $217.92 / $317.77	Professional		$138.65	$217.92	$317.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.36 / $274.61 / $453.61	Professional		$171.36	$274.61	$453.61
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 $159.12 / $165.52 / $255.48	Professional		$159.12	$165.52	$255.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $294.77	Professional		$32.34	$32.34	$294.77
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 $140.43 / $224.50 / $352.28	Professional		$140.43	$224.50	$352.28