Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.00 / $1,365.00 / $5,389.00	Facility		$349.00	$1,365.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $279.36 / $446.52	Professional		$153.19	$279.36	$446.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.08 / $1,575.15 / $3,435.61	Facility		$549.08	$1,575.15	$3,435.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $312.64 / $902.53	Professional		$180.78	$312.64	$902.53
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 $217.00 / $223.22 / $404.74	Professional		$217.00	$223.22	$404.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $467.01	Professional		$32.34	$32.34	$467.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.43 / $694.20 / $1,099.73	Professional		$457.43	$694.20	$1,099.73