Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $1,289.00 / $5,091.00	Facility		$87.75	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $40.92 / $83.68	Professional		$37.97	$40.92	$83.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.78 / $437.68 / $876.45	Facility		$200.78	$437.68	$876.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $44.47	Facility		$44.47	$44.47	$44.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $63.18 / $103.08	Professional		$42.76	$63.18	$103.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $69.50 / $219.93	Professional		$46.33	$69.50	$219.93
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 $45.54 / $50.53 / $54.76	Professional		$45.54	$50.53	$54.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $61.92	Professional		$32.34	$32.34	$61.92
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 $40.60 / $60.78 / $98.12	Professional		$40.60	$60.78	$98.12