Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.80 / $714.04 / $5,389.00	Facility		$144.80	$714.04	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $149.91 / $747.29	Professional		$80.84	$149.91	$747.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.40 / $640.52 / $1,675.52	Facility		$382.40	$640.52	$1,675.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $334.15 / $1,046.26	Professional		$104.20	$334.15	$1,046.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $147.18 / $147.18	Facility		$147.18	$147.18	$147.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $211.52 / $1,027.22	Professional		$98.65	$211.52	$1,027.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $724.33 / $1,021.77	Professional		$113.56	$724.33	$1,021.77
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 $108.59 / $113.56 / $856.02	Professional		$108.59	$113.56	$856.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $967.97	Professional		$32.34	$32.34	$967.97
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $6,650.00	Facility		$785.00	$2,873.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $480.47 / $961.17	Professional		$202.50	$480.47	$961.17