Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $1,272.00 / $5,389.00	Facility		$65.53	$1,272.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $40.14 / $66.90	Professional		$31.80	$40.14	$66.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.93 / $416.36 / $838.87	Facility		$218.93	$416.36	$838.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $59.23 / $74.63	Professional		$41.09	$59.23	$74.63
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 $38.14 / $54.48 / $116.37	Professional		$38.14	$54.48	$116.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $60.21 / $245.23	Professional		$39.95	$60.21	$245.23
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 $40.52 / $43.49 / $47.22	Professional		$40.52	$43.49	$47.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $54.48	Professional		$32.34	$32.34	$54.48
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 $36.45 / $53.55 / $97.62	Professional		$36.45	$53.55	$97.62