Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.97 / $3,073.00 / $5,549.00	Facility		$172.97	$3,073.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $192.80 / $303.87	Professional		$172.97	$192.80	$303.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,616.49 / $6,700.73 / $8,644.52	Facility		$5,616.49	$6,700.73	$8,644.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,894.25 / $4,894.25 / $5,463.84	Facility		$4,894.25	$4,894.25	$5,463.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $254.84 / $607.39	Professional		$254.84	$254.84	$607.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $699.73	Professional		$120.00	$345.40	$699.73
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.08 / $402.74 / $607.58	Professional		$267.08	$402.74	$607.58