Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,609.00 / $5,389.00	Facility		$438.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.98 / $311.32 / $483.09	Professional		$276.98	$311.32	$483.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.34 / $1,004.81 / $1,298.18	Facility		$515.34	$1,004.81	$1,298.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $516.48 / $676.02	Professional		$366.98	$516.48	$676.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,358.24 / $1,766.58	Professional		$345.40	$1,358.24	$1,766.58
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 $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.57 / $552.15 / $870.68	Professional		$338.57	$552.15	$870.68