Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $687.44 / $5,405.00	Facility		$90.11	$687.44	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $86.53 / $187.80	Professional		$52.09	$86.53	$187.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.12 / $584.52 / $1,359.77	Facility		$262.12	$584.52	$1,359.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $111.88 / $172.25	Professional		$70.26	$111.88	$172.25
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 $66.14 / $104.03 / $167.32	Professional		$66.14	$104.03	$167.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $136.97 / $360.41	Professional		$79.11	$136.97	$360.41
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 $66.06 / $73.20 / $124.66	Professional		$66.06	$73.20	$124.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.84	Professional		$32.34	$32.34	$143.84
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 $91.47 / $124.03 / $190.83	Professional		$91.47	$124.03	$190.83