Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,544.00 / $5,389.00	Facility		$349.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $36.04 / $189.48	Professional		$23.59	$36.04	$189.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $347.33 / $448.74	Facility		$178.38	$347.33	$448.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $72.59 / $95.73	Professional		$52.98	$72.59	$95.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $90.09 / $686.36	Professional		$48.80	$90.09	$686.36
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 $43.16 / $70.98 / $77.34	Professional		$43.16	$70.98	$77.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $34.72 / $62.37	Professional		$24.25	$34.72	$62.37