Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $973.00 / $4,200.00	Facility		$140.06	$973.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $119.18 / $231.59	Professional		$73.20	$119.18	$231.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.69 / $1,198.13 / $1,941.42	Facility		$506.69	$1,198.13	$1,941.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $145.25 / $205.02	Professional		$103.00	$145.25	$205.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $351.00 / $624.00	Facility		$351.00	$351.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $147.13 / $220.68	Professional		$92.88	$147.13	$220.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $182.94 / $637.29	Professional		$113.41	$182.94	$637.29
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 $89.47 / $105.31 / $168.16	Professional		$89.47	$105.31	$168.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.03	Professional		$32.34	$32.34	$194.03
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 $122.65 / $184.12 / $270.75	Professional		$122.65	$184.12	$270.75