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 $428.12 / $510.76 / $658.93	Facility		$428.12	$510.76	$658.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.33 / $370.00 / $653.00	Facility		$144.33	$370.00	$653.00
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 Facility Modifier Low / Median / High Price $442.12 / $442.12 / $588.99	Facility		$442.12	$442.12	$588.99
United Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $447.52 / $691.72	Professional		$353.72	$447.52	$691.72