Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,438.00 / $2,750.00	Facility		$515.00	$1,438.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.96 / $475.00 / $743.33	Professional		$358.96	$475.00	$743.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $1,664.00 / $5,336.27	Facility		$149.61	$1,664.00	$5,336.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $304.50 / $851.08	Professional		$85.15	$304.50	$851.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.51 / $460.83 / $984.30	Facility		$131.51	$460.83	$984.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.28 / $544.88 / $894.90	Professional		$352.28	$544.88	$894.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $455.96 / $676.05 / $2,072.50	Professional		$455.96	$676.05	$2,072.50
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 $485.36 / $503.58 / $538.86	Professional		$485.36	$503.58	$538.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $288.58 / $2,500.00	Professional		$144.30	$288.58	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.09 / $562.05 / $826.05	Professional		$424.09	$562.05	$826.05