Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $1,522.50	Facility		$318.00	$318.00	$1,522.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $339.84	Professional		$318.00	$318.00	$339.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,598.94 / $3,971.19 / $19,679.24	Facility		$2,598.94	$3,971.19	$19,679.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.64 / $309.64 / $335.44	Professional		$309.64	$309.64	$335.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $318.00 / $318.00	Facility		$318.00	$318.00	$318.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $420.00	Professional		$318.00	$318.00	$420.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $394.32 / $1,114.81	Professional		$270.30	$394.32	$1,114.81
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 $413.40 / $413.40 / $413.40	Professional		$413.40	$413.40	$413.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $402.06	Professional		$30.00	$40.00	$402.06
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $348.64	Professional		$318.00	$318.00	$348.64