Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $813.00 / $5,389.00	Facility		$99.97	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $89.82 / $157.02	Professional		$60.41	$89.82	$157.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.93 / $344.32 / $1,284.50	Facility		$142.93	$344.32	$1,284.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.29 / $143.57 / $204.87	Professional		$85.29	$143.57	$204.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.65 / $129.65 / $144.74	Facility		$129.65	$129.65	$144.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $115.54 / $184.46	Professional		$71.97	$115.54	$184.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $152.47 / $356.64	Professional		$91.38	$152.47	$356.64
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 $82.99 / $88.91 / $141.58	Professional		$82.99	$88.91	$141.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $160.10	Professional		$32.34	$32.34	$160.10
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $120.15 / $214.23	Professional		$86.94	$120.15	$214.23