Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.70 / $889.15 / $1,562.75	Facility		$471.70	$889.15	$1,562.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $635.11 / $833.58	Professional		$635.11	$635.11	$833.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $10.63 / $6,787.67	Facility		$3.60	$10.63	$6,787.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.76 / $563.76 / $563.76	Professional		$563.76	$563.76	$563.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $760.90 / $918.40	Professional		$345.40	$760.90	$918.40
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 $661.57 / $661.57 / $714.50	Professional		$661.57	$661.57	$714.50