Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $813.00 / $3,636.00	Facility		$74.73	$813.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $98.92 / $192.06	Professional		$63.67	$98.92	$192.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.72 / $797.28 / $1,596.55	Facility		$372.72	$797.28	$1,596.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $124.84 / $195.12	Professional		$85.81	$124.84	$195.12
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 $78.56 / $120.91 / $201.43	Professional		$78.56	$120.91	$201.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $157.94 / $442.80	Professional		$93.48	$157.94	$442.80
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 $83.10 / $90.60 / $156.81	Professional		$83.10	$90.60	$156.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.93	Professional		$32.34	$32.34	$180.93
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 $92.81 / $146.03 / $261.93	Professional		$92.81	$146.03	$261.93