Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.81 / $1,159.00 / $5,091.00	Facility		$234.81	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $173.93 / $305.83	Professional		$142.34	$173.93	$305.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.54 / $2,084.56 / $3,665.04	Facility		$956.54	$2,084.56	$3,665.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $253.13 / $347.25	Professional		$176.59	$253.13	$347.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $281.47 / $696.98	Professional		$193.51	$281.47	$696.98
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 $190.94 / $197.64 / $253.12	Professional		$190.94	$197.64	$253.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.07	Professional		$32.34	$32.34	$292.07
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.23 / $238.85 / $369.01	Professional		$164.23	$238.85	$369.01