Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.82 / $640.54 / $28,770.00	Facility		$292.82	$640.54	$28,770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $292.82 / $311.13	Professional		$292.82	$292.82	$311.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.42 / $2,160.21 / $4,711.70	Facility		$418.42	$2,160.21	$4,711.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.85 / $358.85 / $358.85	Professional		$358.85	$358.85	$358.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Facility		$311.13	$311.13	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $465.61 / $626.65	Professional		$289.77	$465.61	$626.65
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 $443.18 / $443.18 / $443.18	Professional		$443.18	$443.18	$443.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.43 / $233.74 / $2,500.00	Professional		$227.43	$233.74	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $407.79	Professional		$305.02	$305.02	$407.79