Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,627.00 / $9,691.00	Facility		$923.00	$3,627.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.68 / $982.01 / $1,350.18	Professional		$664.68	$982.01	$1,350.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,526.20 / $26,935.08 / $33,131.62	Facility		$21,526.20	$26,935.08	$33,131.62
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 $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
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 $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.64 / $1,631.94 / $2,784.68	Professional		$1,171.64	$1,631.94	$2,784.68