Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $2,010.23	Facility		$182.86	$182.86	$2,010.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Professional		$182.86	$182.86	$182.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.76 / $1,792.00 / $3,588.48	Facility		$837.76	$1,792.00	$3,588.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Professional		$224.00	$224.00	$224.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $179.84 / $179.84	Professional		$5.25	$179.84	$179.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $193.19 / $222.30	Professional		$179.33	$193.19	$222.30
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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40