Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $1,305.00 / $4,961.00	Facility		$47.71	$1,305.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $31.25 / $61.21	Professional		$21.28	$31.25	$61.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $390.78 / $581.49	Facility		$115.08	$390.78	$581.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $38.40 / $58.22	Professional		$29.58	$38.40	$58.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $30.22 / $643.00	Facility		$27.07	$30.22	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $42.40 / $68.66	Professional		$26.58	$42.40	$68.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.73 / $187.56	Professional		$33.11	$50.73	$187.56
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 $28.93 / $30.76 / $43.07	Professional		$28.93	$30.76	$43.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $48.70	Professional		$32.34	$32.34	$48.70
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $49.80 / $85.95	Professional		$31.54	$49.80	$85.95