Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.12 / $923.00 / $5,430.00	Facility		$98.12	$923.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $90.54 / $147.61	Professional		$57.52	$90.54	$147.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.52 / $858.88 / $1,719.90	Facility		$401.52	$858.88	$1,719.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $114.98 / $183.65	Professional		$60.83	$114.98	$183.65
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 $59.87 / $96.34 / $164.43	Professional		$59.87	$96.34	$164.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $121.91 / $397.08	Professional		$69.84	$121.91	$397.08
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 $62.50 / $64.86 / $112.32	Professional		$62.50	$64.86	$112.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $127.01	Professional		$32.34	$32.34	$127.01
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 $85.17 / $139.16 / $209.43	Professional		$85.17	$139.16	$209.43