Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $215.92 / $292.45	Professional		$143.16	$215.92	$292.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.62 / $4,918.46 / $6,345.25	Facility		$4,122.62	$4,918.46	$6,345.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,783.28 / $3,783.28 / $4,223.58	Facility		$3,783.28	$3,783.28	$4,223.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $293.92 / $367.64	Professional		$293.92	$293.92	$367.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $581.49	Professional		$120.00	$345.40	$581.49
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 $223.41 / $343.74 / $535.26	Professional		$223.41	$343.74	$535.26