Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $668.75 / $3,098.62	Facility		$118.57	$668.75	$3,098.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $112.25 / $223.97	Professional		$59.63	$112.25	$223.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.97 / $1,191.61 / $1,642.66	Facility		$655.97	$1,191.61	$1,642.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $143.69 / $226.08	Professional		$83.74	$143.69	$226.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $929.98 / $1,038.21	Facility		$463.00	$929.98	$1,038.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $131.94 / $226.18	Professional		$75.84	$131.94	$226.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $196.39 / $765.90	Professional		$97.52	$196.39	$765.90
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 $82.99 / $87.88 / $176.07	Professional		$82.99	$87.88	$176.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.10	Professional		$32.34	$32.34	$199.10
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 $108.91 / $172.71 / $257.27	Professional		$108.91	$172.71	$257.27