Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $660.69 / $1,819.70	Facility		$117.49	$660.69	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $758.58	Professional		$660.69	$660.69	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $870.96	Professional		$660.69	$660.69	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $912.01 / $2,089.30	Professional		$416.87	$912.01	$2,089.30
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 $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $1,548.82	Facility		$933.25	$1,548.82	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $933.25 / $1,737.80	Professional		$125.89	$933.25	$1,737.80