Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,659.59	Professional		$891.25	$1,023.29	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,862.09	Facility		$501.19	$501.19	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $501.19 / $2,089.30	Professional		$154.88	$501.19	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $199.53	Professional		$100.00	$186.21	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $851.14 / $2,238.72	Facility		$100.00	$851.14	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $1,995.26	Professional		$891.25	$1,412.54	$1,995.26