Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $89.08 / $96.95	Professional		$59.97	$89.08	$96.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $78.20	Professional		$78.20	$78.20	$78.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $163.95 / $163.95	Professional		$163.95	$163.95	$163.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $108.00 / $181.60	Professional		$79.90	$108.00	$181.60
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 $92.25 / $94.43 / $104.00	Professional		$92.25	$94.43	$104.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $98.91 / $164.01	Professional		$68.88	$98.91	$164.01