Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $1,272.00 / $4,500.00	Facility		$80.15	$1,272.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $64.23 / $114.76	Professional		$48.77	$64.23	$114.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.36 / $916.81 / $1,342.73	Facility		$507.36	$916.81	$1,342.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $91.05 / $130.46	Professional		$70.27	$91.05	$130.46
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 $63.64 / $86.26 / $145.19	Professional		$63.64	$86.26	$145.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $101.82 / $490.17	Professional		$66.67	$101.82	$490.17
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 $65.40 / $71.27 / $78.79	Professional		$65.40	$71.27	$78.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.92	Professional		$32.34	$32.34	$90.92
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $101.75 / $152.34	Professional		$61.57	$101.75	$152.34