Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.27 / $1,609.00 / $5,389.00	Facility		$720.27	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $1,040.00 / $4,432.00	Professional		$610.00	$1,040.00	$4,432.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $343.07 / $442.60	Facility		$287.56	$343.07	$442.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,999.99 / $9,999.99 / $9,999.99	Professional		$9,999.99	$9,999.99	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 / $741.00 / $3,399.00	Facility		$165.00	$741.00	$3,399.00