Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $1,862.09	Facility		$104.71	$190.55	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $870.96	Professional		$104.71	$104.71	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,000.00 / $2,290.87	Facility		$263.03	$1,000.00	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $165.96	Professional		$134.90	$134.90	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,000.00 / $1,737.80	Professional		$109.65	$1,000.00	$1,737.80
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 $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $112.20	Professional		$89.13	$100.00	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $245.47	Facility		$104.71	$109.65	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $158.49	Professional		$104.71	$109.65	$158.49