Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.25 / $212.96 / $16,969.66	Facility		$162.25	$212.96	$16,969.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $162.26 / $172.40	Professional		$162.26	$162.26	$172.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.29 / $1,345.19 / $2,633.42	Facility		$687.29	$1,345.19	$2,633.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $202.90	Professional		$202.90	$202.90	$202.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $289.02 / $419.10	Professional		$163.78	$289.02	$419.10
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 $250.48 / $250.48 / $250.48	Professional		$250.48	$250.48	$250.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $227.16	Professional		$202.82	$202.82	$227.16