Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $2,989.00 / $7,407.00	Facility		$146.63	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $220.88 / $240.08	Professional		$146.63	$220.88	$240.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,128.40 / $1,623.44 / $3,214.54	Facility		$1,128.40	$1,623.44	$3,214.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.54 / $1,722.46 / $3,295.64	Facility		$1,599.54	$1,722.46	$3,295.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $393.32	Professional		$120.00	$345.40	$393.32
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 $1,012.39 / $1,012.39 / $1,019.90	Facility		$1,012.39	$1,012.39	$1,019.90
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $287.33 / $474.05	Professional		$194.88	$287.33	$474.05