Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.84 / $244.76 / $9,236.00	Facility		$95.84	$244.76	$9,236.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $125.74 / $236.75	Professional		$56.32	$125.74	$236.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.65 / $1,317.88 / $2,516.91	Facility		$368.65	$1,317.88	$2,516.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $145.68 / $244.23	Professional		$76.84	$145.68	$244.23
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 $78.89 / $130.22 / $257.58	Professional		$78.89	$130.22	$257.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $195.09 / $425.58	Professional		$91.00	$195.09	$425.58
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 $76.98 / $80.87 / $188.12	Professional		$76.98	$80.87	$188.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $217.07	Professional		$32.34	$32.34	$217.07
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,309.00 / $4,780.00	Facility		$815.00	$2,309.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $187.66 / $297.94	Professional		$135.65	$187.66	$297.94