Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.63 / $2,728.00 / $6,470.00	Facility		$1,003.63	$2,728.00	$6,470.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $2,118.00 / $7,407.00	Professional		$476.00	$2,118.00	$7,407.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.15 / $301.75 / $371.16	Facility		$241.15	$301.75	$371.16
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 $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00