Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.60 / $1,159.00 / $5,091.00	Facility		$114.60	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $96.33 / $151.38	Professional		$72.72	$96.33	$151.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.74 / $758.63 / $1,654.68	Facility		$395.74	$758.63	$1,654.68
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 $69.51 / $108.67 / $175.70	Professional		$69.51	$108.67	$175.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $119.95 / $403.85	Professional		$68.64	$119.95	$403.85
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 $85.75 / $87.63 / $111.38	Professional		$85.75	$87.63	$111.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.95	Professional		$32.34	$32.34	$125.95
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 $79.20 / $104.77 / $181.02	Professional		$79.20	$104.77	$181.02