Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $849.00 / $4,634.00	Facility		$68.84	$849.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $61.25 / $139.94	Professional		$33.27	$61.25	$139.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.04 / $622.55 / $1,246.67	Facility		$291.04	$622.55	$1,246.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $95.75 / $125.34	Professional		$65.94	$95.75	$125.34
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 $50.43 / $80.55 / $127.22	Professional		$50.43	$80.55	$127.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $108.45 / $212.85	Professional		$68.66	$108.45	$212.85
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 $62.32 / $69.48 / $100.62	Professional		$62.32	$69.48	$100.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.10	Professional		$32.34	$32.34	$116.10
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $91.27 / $161.19	Professional		$63.88	$91.27	$161.19