Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.33 / $813.00 / $5,389.00	Facility		$287.33	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $257.83 / $454.93	Professional		$152.66	$257.83	$454.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.89 / $862.40 / $3,094.70	Facility		$282.89	$862.40	$3,094.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.83 / $164.83 / $184.01	Facility		$164.83	$164.83	$184.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $302.32 / $535.29	Professional		$177.49	$302.32	$535.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.58 / $424.83 / $991.06	Professional		$226.58	$424.83	$991.06
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 $199.10 / $213.64 / $411.45	Professional		$199.10	$213.64	$411.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $472.91	Professional		$32.34	$32.34	$472.91
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 $256.27 / $345.66 / $602.70	Professional		$256.27	$345.66	$602.70