Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $849.00 / $4,492.64	Facility		$90.90	$849.00	$4,492.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $110.87 / $208.86	Professional		$52.98	$110.87	$208.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.72 / $1,037.64 / $5,442.83	Facility		$152.72	$1,037.64	$5,442.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $129.97 / $217.89	Professional		$71.68	$129.97	$217.89
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 $73.59 / $120.12 / $223.95	Professional		$73.59	$120.12	$223.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $174.79 / $403.79	Professional		$86.40	$174.79	$403.79
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 $73.36 / $76.06 / $167.08	Professional		$73.36	$76.06	$167.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.78	Professional		$32.34	$32.34	$192.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.05 / $174.61 / $273.79	Professional		$127.05	$174.61	$273.79