Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $831.76 / $1,288.25	Facility		$114.82	$831.76	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $1,862.09	Professional		$83.18	$194.98	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $17,378.01 / $30,902.95	Facility		$7,244.36	$17,378.01	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $660.69	Professional		$346.74	$537.03	$660.69
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $2,187.76	Facility		$275.42	$275.42	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,290.87	Professional		$2,187.76	$2,187.76	$2,290.87