Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $294.44 / $451.50	Facility		$63.90	$294.44	$451.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $323.58 / $519.21	Professional		$209.00	$323.58	$519.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $744.54 / $3,843.10	Facility		$256.00	$744.54	$3,843.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $336.52 / $336.52	Professional		$336.52	$336.52	$336.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Facility		$323.87	$323.87	$323.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Professional		$323.87	$323.87	$323.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $64.45 / $462.32	Professional		$41.78	$64.45	$462.32
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 $48.84 / $49.80 / $54.02	Professional		$48.84	$49.80	$54.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $212.53	Professional		$17.54	$17.54	$212.53
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $341.22 / $347.00	Professional		$289.17	$341.22	$347.00