Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,880.00 / $7,412.00	Facility		$826.00	$2,880.00	$7,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $3,708.50 / $14,473.55	Professional		$600.00	$3,708.50	$14,473.55
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