Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $524.72 / $3,636.00	Facility		$89.50	$524.72	$3,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $96.89 / $165.32	Professional		$51.96	$96.89	$165.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.81 / $625.97 / $1,456.21	Facility		$301.81	$625.97	$1,456.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $113.40 / $197.24	Professional		$63.84	$113.40	$197.24
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 $64.23 / $100.81 / $175.28	Professional		$64.23	$100.81	$175.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $140.77 / $394.73	Professional		$74.72	$140.77	$394.73
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 $61.65 / $65.91 / $130.46	Professional		$61.65	$65.91	$130.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $150.53	Professional		$32.34	$32.34	$150.53
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 $97.80 / $144.06 / $210.20	Professional		$97.80	$144.06	$210.20