Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,270.00 / $9,691.00	Facility		$813.00	$3,270.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.13 / $3,106.40 / $7,070.70	Professional		$1,041.13	$3,106.40	$7,070.70
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 / $12,002.00 / $13,106.00	Facility		$875.00	$12,002.00	$13,106.00
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00