Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $2,075.00 / $5,393.00	Facility		$656.25	$2,075.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $743.75	Professional		$49.00	$656.25	$743.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $5,235.91 / $6,754.79	Facility		$4,388.71	$5,235.91	$6,754.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $942.75 / $1,099.86	Professional		$165.00	$942.75	$1,099.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $555.10 / $888.17 / $3,982.84	Professional		$555.10	$888.17	$3,982.84
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $644.17 / $687.27 / $753.17	Professional		$644.17	$687.27	$753.17
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 $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.66 / $1,024.66 / $1,024.66	Professional		$1,024.66	$1,024.66	$1,024.66