Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $868.39 / $4,634.00	Facility		$149.59	$868.39	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $149.60 / $287.77	Professional		$94.12	$149.60	$287.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.36 / $1,014.49 / $2,360.00	Facility		$396.36	$1,014.49	$2,360.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $195.63 / $285.89	Professional		$122.74	$195.63	$285.89
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 $114.45 / $177.80 / $270.97	Professional		$114.45	$177.80	$270.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $231.58 / $534.02	Professional		$140.03	$231.58	$534.02
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 $116.84 / $128.00 / $206.62	Professional		$116.84	$128.00	$206.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.41	Professional		$32.34	$32.34	$238.41
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $195.63 / $333.55	Professional		$143.13	$195.63	$333.55