Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.09 / $974.19 / $5,027.80	Facility		$246.09	$974.19	$5,027.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $246.16 / $456.96	Professional		$164.97	$246.16	$456.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.49 / $2,197.84 / $4,401.17	Facility		$1,027.49	$2,197.84	$4,401.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $278.20 / $323.20	Professional		$214.71	$278.20	$323.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $265.07 / $371.66	Professional		$191.12	$265.07	$371.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $304.20 / $645.92	Professional		$200.00	$304.20	$645.92
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 $200.90 / $219.70 / $240.76	Professional		$200.90	$219.70	$240.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $277.80	Professional		$32.34	$32.34	$277.80
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.27 / $304.97 / $407.55	Professional		$189.27	$304.97	$407.55