Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $813.00 / $4,500.00	Facility		$57.63	$813.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $95.69 / $208.84	Professional		$26.16	$95.69	$208.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.77 / $415.40 / $681.10	Facility		$292.77	$415.40	$681.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $97.04 / $196.55	Professional		$36.39	$97.04	$196.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.19 / $191.11 / $908.00	Facility		$171.19	$191.11	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $112.27 / $211.03	Professional		$33.57	$112.27	$211.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $164.43 / $364.12	Professional		$42.38	$164.43	$364.12
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 $35.06 / $37.72 / $148.36	Professional		$35.06	$37.72	$148.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.76	Professional		$32.34	$32.34	$167.76
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 $115.32 / $176.94 / $266.00	Professional		$115.32	$176.94	$266.00