Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $1,326.00 / $5,389.00	Facility		$469.00	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $400.00 / $1,188.84	Professional		$112.00	$400.00	$1,188.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $284.18 / $366.62	Facility		$238.19	$284.18	$366.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $321.36 / $366.00	Professional		$278.10	$321.36	$366.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00