Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $1,289.00 / $5,389.00	Facility		$150.41	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $85.32 / $150.41	Professional		$69.92	$85.32	$150.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.40 / $995.52 / $1,993.52	Facility		$465.40	$995.52	$1,993.52
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 $85.10 / $121.57 / $199.02	Professional		$85.10	$121.57	$199.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $133.72 / $610.29	Professional		$89.26	$133.72	$610.29
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 $92.91 / $98.64 / $105.35	Professional		$92.91	$98.64	$105.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.56	Professional		$32.34	$32.34	$121.56
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $124.73 / $189.24	Professional		$83.82	$124.73	$189.24