Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.55 / $1,365.00 / $5,091.00	Facility		$225.55	$1,365.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $125.04 / $225.55	Professional		$108.19	$125.04	$225.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.49 / $2,455.01 / $9,990.58	Facility		$803.49	$2,455.01	$9,990.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,000.00 / $7,287.79	Facility		$300.00	$1,000.00	$7,287.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $178.98 / $282.27	Professional		$113.91	$178.98	$282.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $198.87 / $561.39	Professional		$129.49	$198.87	$561.39
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 $133.13 / $153.04 / $172.35	Professional		$133.13	$153.04	$172.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.89	Professional		$32.34	$32.34	$194.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $4,976.00 / $8,566.00	Facility		$1,690.00	$4,976.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $157.90 / $276.41	Professional		$116.40	$157.90	$276.41