Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $755.00 / $3,270.00	Facility		$22.25	$755.00	$3,270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $21.84 / $46.16	Professional		$14.71	$21.84	$46.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.42 / $182.72 / $365.89	Facility		$85.42	$182.72	$365.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $28.31 / $41.34	Professional		$19.78	$28.31	$41.34
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 $18.09 / $27.80 / $44.25	Professional		$18.09	$27.80	$44.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $36.93 / $124.39	Professional		$21.19	$36.93	$124.39
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 $19.67 / $21.19 / $32.85	Professional		$19.67	$21.19	$32.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $37.90	Professional		$32.34	$32.34	$37.90
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 $23.70 / $35.56 / $57.19	Professional		$23.70	$35.56	$57.19