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 $289.76 / $345.70 / $445.98	Facility		$289.76	$345.70	$445.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $301.43 / $653.00	Facility		$133.82	$301.43	$653.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $231.23 / $231.23	Professional		$231.23	$231.23	$231.23
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 $218.69 / $282.45 / $469.98	Professional		$218.69	$282.45	$469.98