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 $174.09 / $255.13 / $321.76	Professional		$174.09	$255.13	$321.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,424.52 / $18,402.13 / $23,740.35	Facility		$15,424.52	$18,402.13	$23,740.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,961.74 / $21,961.74 / $24,517.65	Facility		$21,961.74	$21,961.74	$24,517.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.05 / $286.05 / $337.69	Professional		$286.05	$286.05	$337.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $642.92	Professional		$120.00	$345.40	$642.92
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 $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.01 / $378.42 / $585.09	Professional		$251.01	$378.42	$585.09