Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.11 / $114.11 / $1,512.00	Facility		$114.11	$114.11	$1,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $109.09 / $134.22	Professional		$97.15	$109.09	$134.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.14 / $684.55 / $1,383.45	Facility		$290.14	$684.55	$1,383.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $140.27 / $268.89	Professional		$50.71	$140.27	$268.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $130.11	Facility		$100.63	$100.63	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $171.30 / $325.13	Professional		$103.22	$171.30	$325.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $263.43 / $447.67	Professional		$180.25	$263.43	$447.67
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 $183.78 / $185.11 / $228.31	Professional		$183.78	$185.11	$228.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.22 / $2,500.00	Professional		$32.34	$38.22	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $254.27 / $386.96	Professional		$162.63	$254.27	$386.96