Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $307.42 / $8,230.00	Facility		$227.41	$307.42	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $240.00 / $322.79	Professional		$203.99	$240.00	$322.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.30 / $1,296.75 / $3,350.10	Facility		$76.30	$1,296.75	$3,350.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $94.87 / $178.85	Facility		$42.29	$94.87	$178.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $256.54 / $317.50	Professional		$254.00	$256.54	$317.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $564.72 / $768.97	Professional		$200.00	$564.72	$768.97
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 Facility Modifier Low / Median / High Price $54.32 / $54.32 / $54.32	Facility		$54.32	$54.32	$54.32
United Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00