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 $17.14 / $26.10 / $178.35	Professional		$17.14	$26.10	$178.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $84.95 / $109.59	Facility		$71.20	$84.95	$109.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $40.96 / $159.91	Professional		$34.19	$40.96	$159.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $120.00 / $345.40	Professional		$57.24	$120.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $38.65 / $104.67	Professional		$26.71	$38.65	$104.67