Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $260.01 / $325.01	Facility		$208.01	$260.01	$325.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $411.25	Professional		$260.01	$260.01	$411.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,164.08 / $10,933.14 / $14,104.72	Facility		$9,164.08	$10,933.14	$14,104.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,467.10 / $16,206.02 / $67,622.14	Facility		$9,467.10	$16,206.02	$67,622.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $121.93 / $121.93	Professional		$121.93	$121.93	$121.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.14 / $343.05 / $545.60	Professional		$240.14	$343.05	$545.60
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 $296.36 / $297.31 / $315.24	Professional		$296.36	$297.31	$315.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00