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 $156.74 / $241.12 / $320.33	Professional		$156.74	$241.12	$320.33
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 $22,989.59 / $22,989.59 / $25,665.12	Facility		$22,989.59	$22,989.59	$25,665.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.89 / $283.89 / $337.69	Professional		$283.89	$283.89	$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 $252.17 / $383.96 / $583.66	Professional		$252.17	$383.96	$583.66