Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.38 / $1,225.00 / $5,091.00	Facility		$149.38	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $85.20 / $177.97	Professional		$76.56	$85.20	$177.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.51 / $1,010.72 / $2,023.96	Facility		$472.51	$1,010.72	$2,023.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $126.42 / $186.64	Professional		$90.22	$126.42	$186.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $157.63 / $433.76	Professional		$100.00	$157.63	$433.76
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 $103.60 / $114.23 / $137.61	Professional		$103.60	$114.23	$137.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $158.78	Professional		$32.34	$32.34	$158.78
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $916.00 / $3,685.00	Facility		$165.00	$916.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $129.81 / $220.77	Professional		$91.19	$129.81	$220.77