Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $1,289.00 / $5,389.00	Facility		$0.57	$1,289.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $79.30 / $1,476.00	Professional		$79.30	$79.30	$1,476.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.38 / $348.33 / $428.46	Facility		$278.38	$348.33	$428.46
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 $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 $193.66 / $752.00 / $3,399.00	Facility		$193.66	$752.00	$3,399.00