Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.95 / $1,609.00 / $5,389.00	Facility		$688.95	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.08 / $167.08 / $4,943.89	Professional		$167.08	$167.08	$4,943.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.38 / $348.33 / $428.46	Facility		$278.38	$348.33	$428.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $374.92 / $418.18	Professional		$324.45	$374.92	$418.18
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 $120.00 / $345.40 / $345.40	Professional		$120.00	$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 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00