Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $624.00 / $4,121.00	Facility		$78.39	$624.00	$4,121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $82.41 / $178.82	Professional		$41.11	$82.41	$178.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.46 / $513.08 / $1,026.88	Facility		$358.46	$513.08	$1,026.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $98.78 / $162.94	Professional		$55.75	$98.78	$162.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $122.97 / $908.00	Facility		$110.15	$122.97	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $98.99 / $194.32	Professional		$52.13	$98.99	$194.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $136.32 / $394.34	Professional		$64.92	$136.32	$394.34
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 $54.13 / $57.84 / $121.88	Professional		$54.13	$57.84	$121.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.81	Professional		$32.34	$32.34	$137.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $770.00 / $3,399.00	Facility		$165.00	$770.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $167.86 / $250.60	Professional		$97.60	$167.86	$250.60