Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.09 / $1,289.00 / $5,091.00	Facility		$445.09	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.39 / $251.12 / $440.34	Professional		$216.39	$251.12	$440.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.42 / $1,682.17 / $4,474.12	Facility		$940.42	$1,682.17	$4,474.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $785.00 / $952.41	Facility		$259.94	$785.00	$952.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.76 / $324.83 / $479.30	Professional		$226.76	$324.83	$479.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $376.45 / $1,237.38	Professional		$258.20	$376.45	$1,237.38
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 $269.98 / $287.87 / $312.81	Professional		$269.98	$287.87	$312.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.71	Professional		$32.34	$32.34	$353.71
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 $233.85 / $337.32 / $527.54	Professional		$233.85	$337.32	$527.54