Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.33 / $2,989.00 / $7,407.00	Facility		$403.33	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.28 / $403.33 / $504.68	Professional		$348.28	$403.33	$504.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.97 / $373.97 / $511.74	Professional		$373.97	$373.97	$511.74
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 $355.04 / $498.48 / $640.91	Professional		$355.04	$498.48	$640.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $499.89 / $2,202.62	Professional		$318.47	$499.89	$2,202.62
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 $363.00 / $371.35 / $426.45	Professional		$363.00	$371.35	$426.45
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.49 / $401.19 / $672.45	Professional		$279.49	$401.19	$672.45