Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $566.16 / $5,405.00	Facility		$84.20	$566.16	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $84.20 / $157.13	Professional		$41.38	$84.20	$157.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.54 / $394.57 / $1,023.43	Facility		$124.54	$394.57	$1,023.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $97.45 / $163.38	Professional		$53.56	$97.45	$163.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $100.90 / $170.83	Professional		$54.22	$100.90	$170.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $131.75 / $288.06	Professional		$64.13	$131.75	$288.06
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 $54.90 / $57.50 / $124.54	Professional		$54.90	$57.50	$124.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.69	Professional		$32.34	$32.34	$143.69
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $141.37 / $208.65	Professional		$100.06	$141.37	$208.65