Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.94 / $2,157.00 / $5,405.00	Facility		$263.94	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $169.48 / $272.44	Professional		$141.43	$169.48	$272.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.37 / $4,107.35 / $9,185.06	Facility		$1,835.37	$4,107.35	$9,185.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $215.80 / $323.14	Professional		$149.71	$215.80	$323.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $234.47 / $633.30	Professional		$150.00	$234.47	$633.30
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 $148.46 / $175.33 / $196.65	Professional		$148.46	$175.33	$196.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $222.37	Professional		$32.34	$32.34	$222.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $222.27 / $345.74	Professional		$141.47	$222.27	$345.74