Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.32 / $1,609.00 / $5,549.00	Facility		$200.32	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.60 / $200.32 / $317.75	Professional		$167.60	$200.32	$317.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $886.60 / $1,896.48 / $3,797.70	Facility		$886.60	$1,896.48	$3,797.70
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 $178.26 / $251.85 / $409.44	Professional		$178.26	$251.85	$409.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.66 / $281.05 / $706.79	Professional		$176.66	$281.05	$706.79
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 $173.59 / $208.78 / $234.25	Professional		$173.59	$208.78	$234.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $264.88	Professional		$32.34	$32.34	$264.88
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $261.86 / $440.61	Professional		$168.90	$261.86	$440.61