Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $800.00 / $4,500.00	Facility		$133.43	$800.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $123.03 / $220.03	Professional		$70.70	$123.03	$220.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $1,225.03 / $1,800.70	Facility		$774.06	$1,225.03	$1,800.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $145.09 / $235.92	Professional		$94.81	$145.09	$235.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $929.98 / $1,038.21	Facility		$875.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $148.56 / $242.11	Professional		$92.34	$148.56	$242.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $203.54 / $751.93	Professional		$110.01	$203.54	$751.93
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 $92.76 / $98.63 / $175.57	Professional		$92.76	$98.63	$175.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.52	Professional		$32.34	$32.34	$198.52
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $212.21 / $347.34	Professional		$139.04	$212.21	$347.34