Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $240.13 / $1,330.00	Facility		$204.96	$240.13	$1,330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $235.17	Professional		$204.96	$204.96	$235.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.17 / $1,818.58 / $9,012.00	Facility		$1,190.17	$1,818.58	$9,012.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.66 / $297.66 / $335.11	Professional		$297.66	$297.66	$335.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $297.37	Professional		$204.96	$204.96	$297.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $263.35 / $863.25	Professional		$174.22	$263.35	$863.25
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 $266.45 / $266.45 / $266.45	Professional		$266.45	$266.45	$266.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.58 / $386.51 / $567.91	Professional		$357.58	$386.51	$567.91
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $224.71	Professional		$204.96	$204.96	$224.71