Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,078.00 / $2,495.00	Facility		$350.00	$1,078.00	$2,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $224.82 / $274.56	Professional		$173.31	$224.82	$274.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $125.93 / $162.46	Facility		$105.55	$125.93	$162.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $110.47 / $370.00	Facility		$84.49	$110.47	$370.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $476.23 / $476.23	Professional		$262.47	$476.23	$476.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$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 Professional Modifier Low / Median / High Price $208.58 / $260.97 / $418.52	Professional		$208.58	$260.97	$418.52