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 $245.39 / $378.69 / $1,479.41	Professional		$245.39	$378.69	$1,479.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $4,640.43 / $5,986.58	Facility		$3,889.58	$4,640.43	$5,986.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,072.73 / $3,072.73 / $3,430.33	Facility		$3,072.73	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.30 / $500.30 / $592.45	Professional		$500.30	$500.30	$592.45
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 $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $514.54 / $864.61	Professional		$369.60	$514.54	$864.61