Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.60 / $1,169.00 / $5,389.00	Facility		$171.60	$1,169.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $197.84 / $448.41	Professional		$93.98	$197.84	$448.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $718.26 / $1,536.40 / $3,076.64	Facility		$718.26	$1,536.40	$3,076.64
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 $107.84 / $239.99 / $480.77	Professional		$107.84	$239.99	$480.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $344.39 / $1,277.97	Professional		$127.45	$344.39	$1,277.97
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 $99.93 / $114.82 / $329.20	Professional		$99.93	$114.82	$329.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $372.25	Professional		$32.34	$32.34	$372.25
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 $287.41 / $386.13 / $714.63	Professional		$287.41	$386.13	$714.63