Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $1,289.00 / $5,389.00	Facility		$65.44	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $58.59 / $93.26	Professional		$27.62	$58.59	$93.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.27 / $338.56 / $677.96	Facility		$158.27	$338.56	$677.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $72.13 / $115.35	Professional		$35.58	$72.13	$115.35
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 $33.35 / $67.68 / $118.81	Professional		$33.35	$67.68	$118.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $99.60 / $245.16	Professional		$41.01	$99.60	$245.16
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 $36.02 / $38.08 / $92.48	Professional		$36.02	$38.08	$92.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $106.71	Professional		$32.34	$32.34	$106.71
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 $65.84 / $88.71 / $152.00	Professional		$65.84	$88.71	$152.00