Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $857.86 / $4,500.00	Facility		$213.82	$857.86	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $191.60 / $371.73	Professional		$113.53	$191.60	$371.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,457.02 / $3,389.47	Facility		$396.36	$1,457.02	$3,389.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $267.52 / $428.91	Professional		$178.76	$267.52	$428.91
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 $147.84 / $245.31 / $393.03	Professional		$147.84	$245.31	$393.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $345.39 / $734.04	Professional		$204.75	$345.39	$734.04
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 $184.05 / $190.13 / $305.95	Professional		$184.05	$190.13	$305.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.96	Professional		$32.34	$32.34	$345.96
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 $186.26 / $286.69 / $542.41	Professional		$186.26	$286.69	$542.41