Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.01 / $2,989.00 / $7,407.00	Facility		$835.01	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $1,256.14 / $1,758.59	Professional		$835.01	$1,256.14	$1,758.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,884.53 / $1,884.53 / $2,294.21	Professional		$1,884.53	$1,884.53	$2,294.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $6,773.00 / $8,602.00	Facility		$2,060.00	$6,773.00	$8,602.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.98 / $2,228.66 / $3,277.44	Professional		$1,310.98	$2,228.66	$3,277.44
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 $1,660.45 / $1,881.56 / $2,130.34	Professional		$1,660.45	$1,881.56	$2,130.34
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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.05 / $2,024.16 / $3,498.44	Professional		$1,454.05	$2,024.16	$3,498.44