Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $260.83 / $5,405.00	Facility		$81.27	$260.83	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $73.23 / $131.49	Professional		$42.73	$73.23	$131.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.88 / $560.73 / $1,152.83	Facility		$300.88	$560.73	$1,152.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $94.43 / $155.38	Professional		$59.48	$94.43	$155.38
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 $56.67 / $91.73 / $144.85	Professional		$56.67	$91.73	$144.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $124.52 / $307.58	Professional		$68.02	$124.52	$307.58
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 $55.41 / $61.79 / $112.76	Professional		$55.41	$61.79	$112.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $130.11	Professional		$32.34	$32.34	$130.11
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 $79.27 / $107.32 / $171.28	Professional		$79.27	$107.32	$171.28