Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $1,094.00 / $5,091.00	Facility		$30.36	$1,094.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $29.26 / $51.89	Professional		$21.26	$29.26	$51.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.37 / $278.88 / $558.45	Facility		$130.37	$278.88	$558.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $38.20 / $55.96	Professional		$29.30	$38.20	$55.96
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 $26.58 / $39.24 / $57.18	Professional		$26.58	$39.24	$57.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $49.98 / $166.12	Professional		$31.23	$49.98	$166.12
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 $29.11 / $31.41 / $44.33	Professional		$29.11	$31.41	$44.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.15	Professional		$32.34	$32.34	$51.15
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 $31.83 / $47.05 / $75.14	Professional		$31.83	$47.05	$75.14