Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $1,129.00 / $5,389.00	Facility		$80.50	$1,129.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $70.23 / $136.38	Professional		$44.57	$70.23	$136.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.08 / $549.91 / $1,101.21	Facility		$257.08	$549.91	$1,101.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $84.81 / $134.49	Professional		$57.24	$84.81	$134.49
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 $50.63 / $82.27 / $137.28	Professional		$50.63	$82.27	$137.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $120.00 / $235.30	Professional		$65.48	$120.00	$235.30
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 $59.02 / $61.56 / $106.86	Professional		$59.02	$61.56	$106.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.30	Professional		$32.34	$32.34	$123.30
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $97.93 / $171.30	Professional		$70.26	$97.93	$171.30