Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.98 / $847.62 / $16,201.10	Facility		$495.98	$847.62	$16,201.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $495.98 / $526.98	Professional		$495.98	$495.98	$526.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.73 / $3,548.16 / $7,862.40	Facility		$367.73	$3,548.16	$7,862.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.98 / $619.98 / $619.98	Professional		$619.98	$619.98	$619.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $489.15 / $590.40	Professional		$345.40	$489.15	$590.40
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 $516.65 / $516.65 / $566.41	Professional		$516.65	$516.65	$566.41