Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,989.00 / $5,580.00	Facility		$755.00	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $209.92 / $266.08	Professional		$143.16	$209.92	$266.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.53 / $5,753.49 / $7,422.51	Facility		$4,822.53	$5,753.49	$7,422.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.10 / $309.10 / $309.10	Professional		$309.10	$309.10	$309.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $500.25	Professional		$100.00	$345.40	$500.25
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 $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.74 / $333.81 / $534.29	Professional		$249.74	$333.81	$534.29