Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.64 / $519.54 / $8,230.00	Facility		$415.64	$519.54	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $495.73 / $805.30	Professional		$360.00	$495.73	$805.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,166.61 / $5,500.00 / $17,180.00	Facility		$1,166.61	$5,500.00	$17,180.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.14 / $918.74 / $1,863.89	Facility		$575.14	$918.74	$1,863.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $110.54 / $136.81	Professional		$109.45	$110.54	$136.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,307.15 / $2,111.09	Professional		$200.00	$1,307.15	$2,111.09
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 $275.00 / $275.00 / $275.00	Professional		$275.00	$275.00	$275.00