Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $966.00 / $4,634.00	Facility		$80.08	$966.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $80.08 / $150.43	Professional		$35.49	$80.08	$150.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $495.41 / $935.03	Facility		$352.82	$495.41	$935.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $91.34 / $155.66	Professional		$50.86	$91.34	$155.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $127.19 / $908.00	Facility		$113.93	$127.19	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $83.35 / $155.77	Professional		$45.04	$83.35	$155.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $126.74 / $431.76	Professional		$59.22	$126.74	$431.76
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 $47.20 / $51.74 / $117.69	Professional		$47.20	$51.74	$117.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.08	Professional		$32.34	$32.34	$133.08
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 $59.08 / $95.46 / $171.58	Professional		$59.08	$95.46	$171.58