Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.76 / $294.43 / $5,405.00	Facility		$106.76	$294.43	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $101.55 / $176.40	Professional		$55.50	$101.55	$176.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.62 / $769.73 / $1,400.90	Facility		$365.62	$769.73	$1,400.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $114.02 / $195.05	Professional		$72.41	$114.02	$195.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $111.99 / $199.35	Professional		$64.41	$111.99	$199.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $155.40 / $295.04	Professional		$81.23	$155.40	$295.04
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 $71.89 / $75.44 / $145.60	Professional		$71.89	$75.44	$145.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.00	Professional		$32.34	$32.34	$168.00
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 $108.85 / $159.49 / $241.00	Professional		$108.85	$159.49	$241.00