Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.21 / $1,365.00 / $5,091.00	Facility		$95.21	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $57.38 / $90.97	Professional		$49.30	$57.38	$90.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.29 / $733.72 / $1,445.61	Facility		$377.29	$733.72	$1,445.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $461.10 / $480.00	Facility		$57.01	$461.10	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $73.13 / $127.63	Professional		$51.31	$73.13	$127.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $81.69 / $295.43	Professional		$54.68	$81.69	$295.43
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 $59.03 / $60.98 / $64.62	Professional		$59.03	$60.98	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.06	Professional		$32.34	$32.34	$73.06
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $891.00 / $3,357.00	Facility		$210.00	$891.00	$3,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.15 / $70.59 / $113.32	Professional		$50.15	$70.59	$113.32