Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.31 / $1,365.00 / $5,091.00	Facility		$258.31	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $140.01 / $258.31	Professional		$126.38	$140.01	$258.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.05 / $2,231.01 / $3,223.25	Facility		$869.05	$2,231.01	$3,223.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $2,769.00	Facility		$300.00	$1,000.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $222.51 / $423.78	Professional		$142.41	$222.51	$423.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $233.05 / $761.09	Professional		$154.91	$233.05	$761.09
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 $158.61 / $168.31 / $183.08	Professional		$158.61	$168.31	$183.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $207.02	Professional		$32.34	$32.34	$207.02
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.90 / $245.10 / $377.02	Professional		$137.90	$245.10	$377.02