Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $988.00 / $5,389.00	Facility		$120.78	$988.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $174.68 / $354.20	Professional		$112.83	$174.68	$354.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.83 / $1,461.36 / $2,830.89	Facility		$738.83	$1,461.36	$2,830.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $239.31 / $337.78	Professional		$151.02	$239.31	$337.78
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 $135.09 / $212.57 / $314.70	Professional		$135.09	$212.57	$314.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $272.00 / $535.15	Professional		$168.82	$272.00	$535.15
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 $141.40 / $156.57 / $244.99	Professional		$141.40	$156.57	$244.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $282.68	Professional		$32.34	$32.34	$282.68
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $245.48 / $369.96	Professional		$165.57	$245.48	$369.96