Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.55 / $813.00 / $5,389.00	Facility		$294.55	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $264.45 / $464.25	Professional		$162.10	$264.45	$464.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.28 / $811.94 / $3,348.38	Facility		$379.28	$811.94	$3,348.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $277.33 / $309.61	Facility		$277.33	$277.33	$309.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.77 / $318.36 / $537.62	Professional		$185.77	$318.36	$537.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.94 / $434.09 / $1,057.93	Professional		$231.94	$434.09	$1,057.93
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 $213.33 / $230.48 / $420.23	Professional		$213.33	$230.48	$420.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $475.18	Professional		$32.34	$32.34	$475.18
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $339.41 / $625.89	Professional		$245.16	$339.41	$625.89