Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $1,451.00 / $4,299.64	Facility		$78.42	$1,451.00	$4,299.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $827.72 / $990.44 / $1,277.76	Facility		$827.72	$990.44	$1,277.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $214.24 / $228.76	Professional		$185.40	$214.24	$228.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $723.35 / $807.53	Facility		$463.00	$723.35	$807.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $207.32 / $1,937.10	Professional		$154.47	$207.32	$1,937.10
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 $202.90 / $206.08 / $224.60	Professional		$202.90	$206.08	$224.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $33.39 / $2,500.00	Professional		$30.94	$33.39	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00