Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $904.47 / $4,200.00	Facility		$81.93	$904.47	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $223.59 / $514.66	Professional		$36.90	$223.59	$514.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.20 / $468.88 / $938.93	Facility		$219.20	$468.88	$938.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $145.33 / $460.94	Professional		$48.35	$145.33	$460.94
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 $49.64 / $242.79 / $573.40	Professional		$49.64	$242.79	$573.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $393.71 / $748.53	Professional		$58.30	$393.71	$748.53
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 $49.34 / $52.27 / $372.72	Professional		$49.34	$52.27	$372.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $430.07	Professional		$32.34	$32.34	$430.07
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 $354.20 / $544.90 / $865.59	Professional		$354.20	$544.90	$865.59