Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,385.00 / $9,641.51	Facility		$1,159.00	$3,385.00	$9,641.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.58 / $3,063.16 / $3,063.16	Professional		$983.58	$3,063.16	$3,063.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,994.12 / $8,751.54 / $10,764.87	Facility		$6,994.12	$8,751.54	$10,764.87
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 $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00