Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.55 / $461.80 / $8,230.00	Facility		$295.55	$461.80	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.44 / $369.44 / $406.63	Professional		$336.44	$369.44	$406.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $4,249.35 / $10,978.02	Facility		$244.72	$4,249.35	$10,978.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $639.00 / $639.00	Professional		$639.00	$639.00	$639.00
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 $168.50 / $170.19 / $210.63	Professional		$168.50	$170.19	$210.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $592.95 / $848.16	Professional		$200.00	$592.95	$848.16
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 $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00