Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.33 / $996.91 / $3,636.00	Facility		$163.33	$996.91	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $159.59 / $314.32	Professional		$97.43	$159.59	$314.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.72 / $1,250.67 / $2,506.60	Facility		$827.72	$1,250.67	$2,506.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $199.13 / $301.01	Professional		$136.59	$199.13	$301.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $723.35 / $807.53	Facility		$463.00	$723.35	$807.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.69 / $190.10 / $300.58	Professional		$120.69	$190.10	$300.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $251.84 / $871.44	Professional		$153.16	$251.84	$871.44
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 $134.78 / $142.10 / $223.29	Professional		$134.78	$142.10	$223.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.16	Professional		$32.34	$32.34	$256.16
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $227.79 / $363.36	Professional		$159.21	$227.79	$363.36