Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.32 / $1,225.00 / $5,091.00	Facility		$186.32	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.62 / $108.72 / $225.55	Professional		$95.62	$108.72	$225.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.88 / $1,289.59 / $2,582.42	Facility		$602.88	$1,289.59	$2,582.42
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 $112.31 / $160.33 / $237.26	Professional		$112.31	$160.33	$237.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.56 / $195.92 / $650.64	Professional		$120.56	$195.92	$650.64
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 $121.38 / $142.47 / $173.56	Professional		$121.38	$142.47	$173.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $200.27	Professional		$32.34	$32.34	$200.27
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 $114.41 / $162.31 / $272.16	Professional		$114.41	$162.31	$272.16