Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.43 / $849.00 / $3,636.00	Facility		$95.43	$849.00	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $125.58 / $266.79	Professional		$42.84	$125.58	$266.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.31 / $541.84 / $1,085.03	Facility		$253.31	$541.84	$1,085.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $169.26 / $273.06	Professional		$56.05	$169.26	$273.06
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 $57.54 / $153.81 / $299.93	Professional		$57.54	$153.81	$299.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $233.25 / $477.14	Professional		$67.92	$233.25	$477.14
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 $58.06 / $60.89 / $219.05	Professional		$58.06	$60.89	$219.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $229.16	Professional		$32.34	$32.34	$229.16
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $234.52 / $361.21	Professional		$168.68	$234.52	$361.21