Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $637.50 / $5,389.00	Facility		$90.24	$637.50	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $90.24 / $153.63	Professional		$65.44	$90.24	$153.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $789.03 / $1,835.52	Facility		$316.91	$789.03	$1,835.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $140.13 / $200.87	Professional		$78.11	$140.13	$200.87
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 $71.11 / $109.04 / $164.34	Professional		$71.11	$109.04	$164.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $135.41 / $327.78	Professional		$88.05	$135.41	$327.78
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 $74.84 / $80.89 / $120.73	Professional		$74.84	$80.89	$120.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.31	Professional		$32.34	$32.34	$139.31
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 $87.08 / $119.46 / $192.96	Professional		$87.08	$119.46	$192.96