Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $9,417.93	Facility		$1,017.00	$2,989.00	$9,417.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,413.94 / $2,413.94 / $2,413.94	Professional		$2,413.94	$2,413.94	$2,413.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,129.54 / $8,344.29 / $10,643.23	Facility		$2,129.54	$8,344.29	$10,643.23
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 / $6,359.00 / $12,442.00	Facility		$1,300.00	$6,359.00	$12,442.00