Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,265.00 / $5,393.00	Facility		$676.00	$2,265.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.26 / $508.31 / $613.76	Professional		$317.26	$508.31	$613.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $10,216.95 / $13,180.78	Facility		$8,563.78	$10,216.95	$13,180.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,789.27 / $10,789.27 / $12,044.92	Facility		$10,789.27	$10,789.27	$12,044.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.83 / $610.83 / $684.34	Professional		$610.83	$610.83	$684.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
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 $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.90 / $692.78 / $1,183.52	Professional		$502.90	$692.78	$1,183.52