Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $290.00 / $1,860.11	Facility		$27.99	$290.00	$1,860.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $42.62 / $75.41	Professional		$27.99	$42.62	$75.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.30 / $445.36 / $574.54	Facility		$373.30	$445.36	$574.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $31.13 / $37.90	Professional		$31.13	$31.13	$37.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.02 / $454.27 / $869.17	Facility		$401.02	$454.27	$869.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $121.06 / $121.06	Professional		$121.06	$121.06	$121.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $39.25 / $72.48	Professional		$28.42	$39.25	$72.48
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 $35.19 / $35.19 / $35.19	Professional		$35.19	$35.19	$35.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $336.07 / $336.07 / $404.96	Facility		$336.07	$336.07	$404.96
United Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $153.27 / $243.43	Professional		$105.20	$153.27	$243.43