Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.02 / $1,289.00 / $5,389.00	Facility		$253.02	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $140.49 / $253.02	Professional		$120.43	$140.49	$253.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.47 / $1,540.00 / $3,083.85	Facility		$706.47	$1,540.00	$3,083.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $1,230.00 / $1,900.00	Facility		$147.79	$1,230.00	$1,900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.51 / $198.62 / $298.33	Professional		$134.51	$198.62	$298.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $228.87 / $604.34	Professional		$147.12	$228.87	$604.34
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 $144.79 / $170.01 / $191.26	Professional		$144.79	$170.01	$191.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.27	Professional		$32.34	$32.34	$216.27
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $192.23 / $304.86	Professional		$133.06	$192.23	$304.86