Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $311.14 / $8,012.63	Facility		$222.25	$311.14	$8,012.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $270.29	Professional		$222.25	$222.25	$270.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.82 / $764.84 / $5,872.20	Facility		$260.82	$764.84	$5,872.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Facility		$399.36	$399.36	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $350.73 / $645.23	Professional		$222.25	$350.73	$645.23
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.93 / $288.93 / $288.93	Professional		$288.93	$288.93	$288.93
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 $222.25 / $262.26 / $427.88	Professional		$222.25	$262.26	$427.88