Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,017.83 / $9,748.58	Facility		$900.00	$4,017.83	$9,748.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $223.77 / $288.68	Facility		$187.56	$223.77	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $226.07 / $432.55	Facility		$208.24	$226.07	$432.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $58.63 / $9,999.99	Professional		$58.63	$58.63	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$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 $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00