Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,775.00 / $5,389.00	Facility		$630.00	$1,775.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $523.54 / $3,002.00	Professional		$523.54	$523.54	$3,002.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.73 / $291.20 / $358.21	Facility		$232.73	$291.20	$358.21
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 $161.90 / $891.00 / $3,686.00	Facility		$161.90	$891.00	$3,686.00