Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $1,620.00 / $5,393.00	Facility		$206.72	$1,620.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $146.47 / $228.85	Professional		$116.20	$146.47	$228.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.23 / $2,778.68 / $5,402.48	Facility		$1,280.23	$2,778.68	$5,402.48
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 $128.55 / $204.27 / $278.49	Professional		$128.55	$204.27	$278.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $243.34 / $661.38	Professional		$163.55	$243.34	$661.38
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 $151.47 / $160.30 / $214.03	Professional		$151.47	$160.30	$214.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $246.96	Professional		$32.34	$32.34	$246.96
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $204.76 / $395.16	Professional		$133.01	$204.76	$395.16