Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.90 / $695.90 / $830.34	Facility		$695.90	$695.90	$830.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $739.40	Professional		$695.90	$695.90	$739.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,692.80 / $5,760.00 / $11,534.40	Facility		$2,692.80	$5,760.00	$11,534.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $137.13 / $137.13	Professional		$137.13	$137.13	$137.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $1,194.81 / $1,442.13	Professional		$220.28	$1,194.81	$1,442.13
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 $85.80 / $85.80 / $259.94	Professional		$85.80	$85.80	$259.94