Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.06 / $1,411.00 / $5,091.00	Facility		$243.06	$1,411.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $197.23 / $378.08	Professional		$120.16	$197.23	$378.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.97 / $1,362.09 / $3,168.64	Facility		$252.97	$1,362.09	$3,168.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $237.17 / $378.03	Professional		$143.84	$237.17	$378.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $303.27 / $723.31	Professional		$172.81	$303.27	$723.31
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 $158.18 / $168.45 / $280.81	Professional		$158.18	$168.45	$280.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $324.02	Professional		$32.34	$32.34	$324.02
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $843.00 / $3,685.00	Facility		$204.00	$843.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.98 / $301.57 / $487.25	Professional		$217.98	$301.57	$487.25