Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,017.00 / $4,634.00	Facility		$47.86	$1,017.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $38.49 / $76.77	Professional		$27.68	$38.49	$76.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.10 / $389.52 / $780.01	Facility		$182.10	$389.52	$780.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $55.93 / $71.76	Professional		$34.95	$55.93	$71.76
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 $33.60 / $49.50 / $71.08	Professional		$33.60	$49.50	$71.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $59.12 / $180.21	Professional		$39.68	$59.12	$180.21
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 $33.50 / $36.60 / $51.58	Professional		$33.50	$36.60	$51.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $59.52	Professional		$32.34	$32.34	$59.52
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 $39.61 / $57.29 / $98.73	Professional		$39.61	$57.29	$98.73