Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $291.11 / $8,230.00	Facility		$225.00	$291.11	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.81 / $399.10	Professional		$225.00	$362.81	$399.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $2,493.75 / $6,442.50	Facility		$244.72	$2,493.75	$6,442.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Professional		$375.00	$375.00	$375.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.05 / $209.88 / $370.23	Facility		$129.05	$209.88	$370.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $105.53 / $130.61	Professional		$104.49	$105.53	$130.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $929.68 / $1,839.77	Professional		$200.00	$929.68	$1,839.77
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00