Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $1,055.00 / $4,634.00	Facility		$101.02	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $68.55 / $131.44	Professional		$42.17	$68.55	$131.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.14 / $603.52 / $1,208.54	Facility		$282.14	$603.52	$1,208.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $88.98 / $127.35	Professional		$57.18	$88.98	$127.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $86.57 / $137.41	Professional		$55.80	$86.57	$137.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $109.90 / $529.50	Professional		$66.58	$109.90	$529.50
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 $57.43 / $60.49 / $93.38	Professional		$57.43	$60.49	$93.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.59	Professional		$32.34	$32.34	$105.59
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 $70.56 / $108.16 / $167.54	Professional		$70.56	$108.16	$167.54