Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $973.00 / $4,634.00	Facility		$49.16	$973.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $50.26 / $97.76	Professional		$36.39	$50.26	$97.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.58 / $521.04 / $1,043.38	Facility		$243.58	$521.04	$1,043.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $79.20 / $96.19	Professional		$49.82	$79.20	$96.19
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 $47.52 / $67.64 / $96.71	Professional		$47.52	$67.64	$96.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $79.88 / $204.12	Professional		$53.42	$79.88	$204.12
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 $46.66 / $51.82 / $69.45	Professional		$46.66	$51.82	$69.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.13	Professional		$32.34	$32.34	$80.13
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 $51.17 / $77.22 / $111.23	Professional		$51.17	$77.22	$111.23