Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,200.00 / $5,665.00	Facility		$923.00	$2,200.00	$5,665.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $714.15 / $1,882.00	Professional		$375.00	$714.15	$1,882.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.16 / $927.39 / $1,198.75	Facility		$741.16	$927.39	$1,198.75
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 $515.60 / $1,481.00 / $4,256.00	Facility		$515.60	$1,481.00	$4,256.00