Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,078.00 / $2,495.00	Facility		$350.00	$1,078.00	$2,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.13 / $211.49 / $265.37	Professional		$175.13	$211.49	$265.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $152.08 / $196.20	Facility		$127.47	$152.08	$196.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $159.46 / $370.00	Facility		$133.82	$159.46	$370.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $289.00	Professional		$200.00	$200.00	$289.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$345.40
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 Professional Modifier Low / Median / High Price $103.44 / $133.71 / $226.56	Professional		$103.44	$133.71	$226.56