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 $299.89 / $461.84 / $613.64	Professional		$299.89	$461.84	$613.64
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 $9,720.09 / $9,720.09 / $10,851.31	Facility		$9,720.09	$9,720.09	$10,851.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $577.42 / $646.37	Professional		$577.42	$577.42	$646.37
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 / $3,715.00 / $6,625.00	Facility		$1,499.00	$3,715.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.84 / $670.24 / $1,117.90	Professional		$477.84	$670.24	$1,117.90