Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $1,017.00 / $4,634.00	Facility		$76.70	$1,017.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $76.70 / $131.96	Professional		$57.02	$76.70	$131.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.48 / $650.17 / $1,512.53	Facility		$313.48	$650.17	$1,512.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $118.81 / $143.26	Professional		$72.22	$118.81	$143.26
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 $66.26 / $94.38 / $135.79	Professional		$66.26	$94.38	$135.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $111.23 / $235.19	Professional		$75.34	$111.23	$235.19
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 $66.89 / $72.68 / $95.86	Professional		$66.89	$72.68	$95.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.61	Professional		$32.34	$32.34	$110.61
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 $73.25 / $106.05 / $158.01	Professional		$73.25	$106.05	$158.01