Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $1,263.24 / $3,568.54	Facility		$149.40	$1,263.24	$3,568.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $103.66 / $181.86	Professional		$71.18	$103.66	$181.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $1,002.77 / $1,793.97	Facility		$468.21	$1,002.77	$1,793.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $141.97 / $200.64	Professional		$88.63	$141.97	$200.64
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 $91.00 / $141.91 / $209.53	Professional		$91.00	$141.91	$209.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $166.27 / $426.37	Professional		$102.96	$166.27	$426.37
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 $89.56 / $95.60 / $147.16	Professional		$89.56	$95.60	$147.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.82	Professional		$32.34	$32.34	$169.82
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 $114.49 / $156.63 / $243.87	Professional		$114.49	$156.63	$243.87