Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $1,055.00 / $5,091.00	Facility		$73.58	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $73.40 / $110.80	Professional		$39.72	$73.40	$110.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.52 / $478.50 / $1,113.15	Facility		$290.52	$478.50	$1,113.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $82.44 / $149.07	Professional		$47.52	$82.44	$149.07
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 $43.26 / $76.19 / $132.47	Professional		$43.26	$76.19	$132.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $107.94 / $226.37	Professional		$55.04	$107.94	$226.37
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 $45.46 / $49.35 / $98.29	Professional		$45.46	$49.35	$98.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.42	Professional		$32.34	$32.34	$113.42
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 $65.38 / $93.83 / $147.83	Professional		$65.38	$93.83	$147.83