Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,221.00 / $7,723.00	Facility		$923.00	$3,221.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $3,270.00 / $10,073.00	Professional		$1,017.00	$3,270.00	$10,073.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,006.27 / $1,298.18	Facility		$843.45	$1,006.27	$1,298.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $828.00 / $1,703.00 / $4,256.00	Facility		$828.00	$1,703.00	$4,256.00