Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.12 / $973.00 / $4,500.00	Facility		$81.12	$973.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $53.22 / $97.62	Professional		$43.52	$53.22	$97.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.26 / $509.96 / $1,112.29	Facility		$269.26	$509.96	$1,112.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $91.21 / $100.12	Professional		$63.26	$91.21	$100.12
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 $57.43 / $80.81 / $129.46	Professional		$57.43	$80.81	$129.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $93.13 / $219.16	Professional		$61.52	$93.13	$219.16
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 $62.74 / $67.26 / $72.70	Professional		$62.74	$67.26	$72.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $83.90	Professional		$32.34	$32.34	$83.90
United Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $770.00 / $3,685.00	Facility		$169.62	$770.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $82.92 / $151.18	Professional		$54.51	$82.92	$151.18