Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $1,289.00 / $7,407.00	Facility		$59.50	$1,289.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $40.77 / $73.58	Professional		$38.76	$40.77	$73.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.92 / $1,071.05 / $3,480.71	Facility		$466.92	$1,071.05	$3,480.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $72.18 / $85.73	Professional		$44.88	$72.18	$85.73
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 $40.86 / $55.24 / $85.61	Professional		$40.86	$55.24	$85.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $64.20 / $157.55	Professional		$42.80	$64.20	$157.55
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 $43.94 / $46.96 / $50.58	Professional		$43.94	$46.96	$50.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $58.37	Professional		$32.34	$32.34	$58.37
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $57.76 / $87.56	Professional		$41.41	$57.76	$87.56