Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.49 / $1,451.00 / $5,389.00	Facility		$87.49	$1,451.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $50.92 / $92.93	Professional		$40.78	$50.92	$92.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.01 / $1,087.30 / $5,402.48	Facility		$474.01	$1,087.30	$5,402.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $79.20 / $92.76	Professional		$58.90	$79.20	$92.76
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 $48.84 / $70.02 / $105.96	Professional		$48.84	$70.02	$105.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $84.02 / $305.70	Professional		$56.99	$84.02	$305.70
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 $56.16 / $60.68 / $67.34	Professional		$56.16	$60.68	$67.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $77.72	Professional		$32.34	$32.34	$77.72
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 $49.08 / $68.34 / $108.61	Professional		$49.08	$68.34	$108.61