Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,882.00 / $5,389.00	Facility		$600.00	$1,882.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.61 / $333.69 / $444.68	Professional		$218.61	$333.69	$444.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $4,640.43 / $5,986.58	Facility		$3,889.58	$4,640.43	$5,986.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,448.95 / $4,448.95 / $4,966.72	Facility		$4,448.95	$4,448.95	$4,966.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $396.47 / $396.47	Professional		$396.47	$396.47	$396.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $891.28	Professional		$120.00	$345.40	$891.28
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 $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.48 / $486.24 / $815.90	Professional		$348.48	$486.24	$815.90