Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,292.00 / $5,393.00	Facility		$676.00	$2,292.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $829.58 / $995.11	Professional		$544.16	$829.58	$995.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,709.12 / $3,460.55	Facility		$1,179.36	$2,709.12	$3,460.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,681.46	Facility		$400.00	$785.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.29 / $2,515.66 / $4,328.07	Professional		$1,042.29	$2,515.66	$4,328.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.75 / $1,293.33 / $2,071.21	Professional		$918.75	$1,293.33	$2,071.21