Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $741.31 / $2,344.23	Facility		$117.49	$741.31	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Professional		$741.31	$741.31	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $275.42	Facility		$165.96	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $977.24	Professional		$741.31	$741.31	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $2,089.30	Professional		$467.74	$1,023.29	$2,089.30
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 $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $1,548.82	Facility		$933.25	$1,548.82	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $933.25 / $1,862.09	Professional		$125.89	$933.25	$1,862.09