Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $1,609.00 / $5,389.00	Facility		$735.00	$1,609.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.58 / $662.29 / $1,158.30	Professional		$164.58	$662.29	$1,158.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.58 / $348.33 / $428.46	Facility		$302.58	$348.33	$428.46
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 $210.00 / $891.00 / $3,357.00	Facility		$210.00	$891.00	$3,357.00