Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $1,055.00 / $4,634.00	Facility		$126.34	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $79.34 / $210.27	Professional		$39.40	$79.34	$210.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.33 / $833.28 / $1,241.66	Facility		$426.33	$833.28	$1,241.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.66 / $86.16 / $142.13	Professional		$54.66	$86.16	$142.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $105.40 / $480.00	Facility		$94.41	$105.40	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $98.42 / $201.15	Professional		$54.22	$98.42	$201.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $122.63 / $331.28	Professional		$63.64	$122.63	$331.28
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 $50.65 / $55.58 / $107.32	Professional		$50.65	$55.58	$107.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.35	Professional		$32.34	$32.34	$121.35
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $147.34 / $245.06	Professional		$71.66	$147.34	$245.06