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 $85.25 / $130.19 / $166.23	Professional		$85.25	$130.19	$166.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,560.06 / $5,433.31 / $6,940.36	Facility		$2,560.06	$5,433.31	$6,940.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $587.00 / $3,649.95	Facility		$163.60	$587.00	$3,649.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $294.62 / $679.76	Professional		$163.77	$294.62	$679.76
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 $1,183.00 / $2,435.00 / $4,749.00	Facility		$1,183.00	$2,435.00	$4,749.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $202.10 / $325.20	Professional		$144.62	$202.10	$325.20