Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.94 / $813.00 / $5,389.00	Facility		$314.94	$813.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.25 / $266.24 / $497.80	Professional		$161.25	$266.24	$497.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.97 / $945.28 / $3,476.39	Facility		$434.97	$945.28	$3,476.39
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 $198.24 / $328.71 / $566.35	Professional		$198.24	$328.71	$566.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $461.18 / $976.12	Professional		$248.03	$461.18	$976.12
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 $222.99 / $239.68 / $450.33	Professional		$222.99	$239.68	$450.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $509.22	Professional		$32.34	$32.34	$509.22
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 $262.83 / $375.65 / $677.72	Professional		$262.83	$375.65	$677.72