Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $2,000.00 / $5,549.00	Facility		$735.00	$2,000.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.76 / $2,170.02 / $2,399.52	Professional		$1,199.76	$2,170.02	$2,399.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,590.47 / $5,743.92 / $7,065.34	Facility		$4,590.47	$5,743.92	$7,065.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,310.00 / $14,224.00	Facility		$875.00	$11,310.00	$14,224.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$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 $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00