Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $1,225.00 / $5,091.00	Facility		$280.11	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $162.24 / $332.84	Professional		$140.09	$162.24	$332.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $899.69 / $1,924.48 / $3,853.77	Facility		$899.69	$1,924.48	$3,853.77
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 $167.04 / $240.98 / $346.13	Professional		$167.04	$240.98	$346.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $293.19 / $965.12	Professional		$181.25	$293.19	$965.12
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 $182.34 / $214.20 / $259.91	Professional		$182.34	$214.20	$259.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $299.89	Professional		$32.34	$32.34	$299.89
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 $168.58 / $239.73 / $407.88	Professional		$168.58	$239.73	$407.88