Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $7,723.00	Facility		$1,017.00	$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 $741.16 / $927.39 / $1,140.74	Facility		$741.16	$927.39	$1,140.74
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 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00