Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.95 / $2,989.00 / $7,407.00	Facility		$603.95	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $646.36 / $976.91	Professional		$577.60	$646.36	$976.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,028.70 / $5,745.10 / $7,422.51	Facility		$4,028.70	$5,745.10	$7,422.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.82 / $834.87 / $2,055.58	Professional		$696.82	$834.87	$2,055.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $1,741.88	Professional		$120.00	$345.40	$1,741.88
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 $1,530.00 / $5,951.00 / $11,427.00	Facility		$1,530.00	$5,951.00	$11,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $876.34 / $1,277.04 / $2,291.00	Professional		$876.34	$1,277.04	$2,291.00