Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,507.00 / $2,750.00	Facility		$515.00	$1,507.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $356.68 / $1,407.08	Professional		$218.65	$356.68	$1,407.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.25 / $1,387.14 / $1,753.75	Facility		$1,159.25	$1,387.14	$1,753.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.44 / $972.17 / $1,443.80	Facility		$142.44	$972.17	$1,443.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $434.10 / $434.10	Professional		$434.10	$434.10	$434.10
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 $368.21 / $368.21 / $1,140.59	Facility		$368.21	$368.21	$1,140.59
United Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $475.98 / $747.96	Professional		$385.71	$475.98	$747.96