Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.96 / $1,575.94 / $8,230.00	Facility		$780.96	$1,575.94	$8,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $780.96 / $1,124.58	Professional		$720.00	$780.96	$1,124.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $8,190.00 / $25,770.00	Facility		$244.72	$8,190.00	$25,770.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
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 $519.54 / $524.75 / $649.44	Professional		$519.54	$524.75	$649.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $2,280.55 / $3,647.94	Professional		$200.00	$2,280.55	$3,647.94
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 $1,400.00 / $1,400.00 / $1,400.00	Professional		$1,400.00	$1,400.00	$1,400.00