Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $2,747.00 / $5,091.00	Facility		$75.18	$2,747.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $49.60 / $84.96	Professional		$17.96	$49.60	$84.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $284.18 / $385.26	Facility		$84.64	$284.18	$385.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $78.03 / $134.66	Professional		$23.91	$78.03	$134.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $50.00 / $1,000.00	Facility		$29.04	$50.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $74.09 / $93.52	Professional		$40.83	$74.09	$93.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $82.78 / $192.23	Professional		$22.25	$82.78	$192.23
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 $26.13 / $26.79 / $107.61	Professional		$26.13	$26.79	$107.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.17	Professional		$32.34	$32.34	$124.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $80.63 / $159.63	Professional		$47.09	$80.63	$159.63