Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $648.74 / $3,772.08	Facility		$133.47	$648.74	$3,772.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $150.52 / $261.31	Professional		$82.91	$150.52	$261.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.58 / $2,390.94 / $5,402.48	Facility		$1,101.58	$2,390.94	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $156.77 / $177.55	Professional		$127.39	$156.77	$177.55
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 $115.34 / $159.44 / $223.87	Professional		$115.34	$159.44	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $181.84 / $660.45	Professional		$122.50	$181.84	$660.45
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 $113.75 / $135.08 / $153.53	Professional		$113.75	$135.08	$153.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $177.15	Professional		$32.34	$32.34	$177.15
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $158.94 / $242.25	Professional		$108.27	$158.94	$242.25