Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,848.00 / $5,430.00	Facility		$755.00	$1,848.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $1,689.53 / $1,757.78	Professional		$1,689.53	$1,689.53	$1,757.78
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 / $891.00 / $3,686.00	Facility		$165.00	$891.00	$3,686.00