Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,892.00 / $5,389.00	Facility		$624.00	$1,892.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $352.43 / $469.25	Professional		$231.06	$352.43	$469.25
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 / $587.00 / $1,681.46	Facility		$400.00	$587.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.59 / $441.52 / $1,833.48	Professional		$243.59	$441.52	$1,833.48
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 $388.65 / $557.02 / $861.86	Professional		$388.65	$557.02	$861.86