Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.14 / $1,087.14 / $1,087.14	Facility		$1,087.14	$1,087.14	$1,087.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.04 / $1,087.14 / $1,468.89	Professional		$616.04	$1,087.14	$1,468.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,695.19 / $14,321.28 / $28,678.36	Facility		$6,695.19	$14,321.28	$28,678.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $142.77 / $142.77	Professional		$100.56	$142.77	$142.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $2,205.00	Professional		$91.49	$107.63	$2,205.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.01 / $345.40	Professional		$100.00	$177.01	$345.40
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 $32.49 / $209.87 / $324.88	Professional		$32.49	$209.87	$324.88
United Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $94.97 / $276.99	Professional		$80.72	$94.97	$276.99