Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,187.76 / $7,762.47	Facility		$407.38	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $223.87	Facility		$165.96	$186.21	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $436.52	Facility		$208.93	$302.00	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $10,000.00	Professional		$58.88	$58.88	$10,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
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 $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $812.83 / $2,344.23	Facility		$154.88	$812.83	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26