Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.00 / $1,544.00 / $5,389.00	Facility		$438.00	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $400.03 / $2,400.00	Professional		$272.93	$400.03	$2,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.81 / $875.46 / $1,129.43	Facility		$733.81	$875.46	$1,129.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.82 / $512.82 / $512.82	Professional		$512.82	$512.82	$512.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $485.35 / $692.38 / $1,146.00	Professional		$485.35	$692.38	$1,146.00
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 $600.91 / $620.75 / $682.03	Professional		$600.91	$620.75	$682.03
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 $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.21 / $569.54 / $1,018.83	Professional		$234.21	$569.54	$1,018.83