Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,091.00 / $9,897.84	Facility		$800.00	$5,091.00	$9,897.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $2,550.00	Professional		$82.50	$82.50	$2,550.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $348.33 / $455.15	Facility		$302.58	$348.33	$455.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $321.36 / $358.44	Professional		$278.10	$321.36	$358.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,999.99 / $9,999.99 / $9,999.99	Professional		$9,999.99	$9,999.99	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $204.00 / $891.00 / $3,685.00	Facility		$204.00	$891.00	$3,685.00