Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $502.03 / $8,230.00	Facility		$401.62	$502.03	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $400.00 / $423.98	Professional		$289.39	$400.00	$423.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $3,657.50 / $9,449.00	Facility		$244.72	$3,657.50	$9,449.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Professional		$550.00	$550.00	$550.00
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 $280.01 / $282.81 / $350.02	Professional		$280.01	$282.81	$350.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $933.96 / $1,423.78	Professional		$200.00	$933.96	$1,423.78
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 $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00