Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.42 / $285.64 / $1,285.11	Facility		$114.42	$285.64	$1,285.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $114.42 / $4,115.92	Professional		$83.90	$114.42	$4,115.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,115.80 / $17,229.80 / $31,899.00	Facility		$8,115.80	$17,229.80	$31,899.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $543.50 / $656.00	Professional		$345.40	$543.50	$656.00
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,306.92	Professional		$2,170.19	$2,170.19	$2,306.92