Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.49 / $1,289.00 / $5,389.00	Facility		$211.49	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $116.77 / $211.49	Professional		$91.31	$116.77	$211.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $1,277.76 / $2,666.38	Facility		$695.90	$1,277.76	$2,666.38
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 $116.22 / $172.88 / $229.90	Professional		$116.22	$172.88	$229.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $195.93 / $580.61	Professional		$128.62	$195.93	$580.61
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 $119.43 / $144.11 / $166.48	Professional		$119.43	$144.11	$166.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.09	Professional		$32.34	$32.34	$192.09
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $172.22 / $270.32	Professional		$111.52	$172.22	$270.32