Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,073.00 / $7,407.00	Facility		$923.00	$3,073.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,517.00 / $10,073.00	Professional		$1,017.00	$1,517.00	$10,073.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $348.33 / $455.15	Facility		$302.58	$348.33	$455.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $587.00 / $908.00	Facility		$400.00	$587.00	$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 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $204.00 / $891.00 / $3,399.00	Facility		$204.00	$891.00	$3,399.00