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 $213.40 / $254.60 / $328.45	Facility		$213.40	$254.60	$328.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $223.76 / $528.94	Facility		$150.63	$223.76	$528.94
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 Facility Modifier Low / Median / High Price $148.46 / $159.00 / $302.63	Facility		$148.46	$159.00	$302.63
United Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $218.86 / $341.54	Professional		$171.63	$218.86	$341.54