Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,544.00 / $5,389.00	Facility		$463.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $285.64 / $329.45	Professional		$189.93	$285.64	$329.45
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 $363.80 / $587.00 / $1,681.46	Facility		$363.80	$587.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.09 / $343.94 / $1,428.12	Professional		$218.09	$343.94	$1,428.12
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 $304.14 / $426.17 / $692.78	Professional		$304.14	$426.17	$692.78