Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $321.08 / $34,664.50	Facility		$183.41	$321.08	$34,664.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $222.30	Professional		$183.41	$183.48	$222.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.41 / $858.06 / $3,066.26	Facility		$373.41	$858.06	$3,066.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.01 / $227.02 / $227.02	Professional		$201.01	$227.02	$227.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Facility		$183.48	$183.48	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $217.31	Professional		$183.48	$183.48	$217.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $239.04 / $464.64	Professional		$178.25	$239.04	$464.64
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 $238.52 / $238.52 / $238.52	Professional		$238.52	$238.52	$238.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $252.31 / $270.33	Professional		$180.22	$252.31	$270.33
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $204.25	Professional		$183.48	$194.49	$204.25