Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,842.00 / $5,389.00	Facility		$735.00	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $162.09 / $287.27	Professional		$20.00	$162.09	$287.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $875.46 / $1,129.43	Facility		$733.81	$875.46	$1,129.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.03 / $226.03 / $226.03	Professional		$226.03	$226.03	$226.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.81 / $229.42 / $345.40	Professional		$162.81	$229.42	$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
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $192.41 / $212.71	Professional		$188.37	$192.41	$212.71
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 $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.59 / $208.00 / $322.64	Professional		$155.59	$208.00	$322.64