Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $2,989.00 / $5,549.00	Facility		$151.22	$2,989.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.06 / $151.22 / $241.09	Professional		$128.06	$151.22	$241.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $85.31 / $116.73	Professional		$85.31	$85.31	$116.73
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 $123.75 / $185.05 / $243.99	Professional		$123.75	$185.05	$243.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $116.81 / $1,155.14	Professional		$73.43	$116.81	$1,155.14
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 $86.59 / $86.78 / $97.28	Professional		$86.59	$86.78	$97.28
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 $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $90.24 / $164.85	Professional		$60.35	$90.24	$164.85