Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $363.55 / $2,414.00	Facility		$78.83	$363.55	$2,414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $76.59 / $167.77	Professional		$48.56	$76.59	$167.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $504.18 / $1,099.68	Facility		$263.05	$504.18	$1,099.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $96.45 / $143.47	Professional		$66.91	$96.45	$143.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $89.61 / $150.24	Professional		$56.03	$89.61	$150.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $120.41 / $234.95	Professional		$69.64	$120.41	$234.95
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 $65.87 / $70.01 / $115.95	Professional		$65.87	$70.01	$115.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.79	Professional		$32.34	$32.34	$133.79
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 $68.31 / $101.31 / $175.01	Professional		$68.31	$101.31	$175.01