Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,073.00 / $7,123.00	Facility		$813.00	$3,073.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.93 / $1,247.73 / $1,400.00	Professional		$779.93	$1,247.73	$1,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $10,216.95 / $13,180.78	Facility		$8,563.78	$10,216.95	$13,180.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $872.81 / $1,680.49	Professional		$698.25	$872.81	$1,680.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.09 / $994.82 / $1,712.85	Professional		$676.09	$994.82	$1,712.85
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $760.75 / $799.02 / $881.65	Professional		$760.75	$799.02	$881.65
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 $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.92 / $1,086.19 / $2,433.88	Professional		$644.92	$1,086.19	$2,433.88