Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $988.00 / $5,091.00	Facility		$98.01	$988.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $155.54 / $327.76	Professional		$42.92	$155.54	$327.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.76 / $544.96 / $1,091.28	Facility		$254.76	$544.96	$1,091.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $157.69 / $298.44	Professional		$57.14	$157.69	$298.44
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 $58.66 / $169.17 / $328.76	Professional		$58.66	$169.17	$328.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $254.92 / $569.05	Professional		$68.86	$254.92	$569.05
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 $57.93 / $61.66 / $240.11	Professional		$57.93	$61.66	$240.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $277.05	Professional		$32.34	$32.34	$277.05
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $900.00 / $3,606.00	Facility		$204.00	$900.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.55 / $290.86 / $434.31	Professional		$193.55	$290.86	$434.31