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 $73.56 / $85.20 / $175.74	Professional		$73.56	$85.20	$175.74
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 / $125.42 / $184.40	Professional		$90.22	$125.42	$184.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $155.69 / $395.80	Professional		$99.48	$155.69	$395.80
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 / $135.88	Professional		$103.60	$114.23	$135.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.80	Professional		$32.34	$32.34	$156.80
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $122.80 / $218.95	Professional		$88.38	$122.80	$218.95