Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,728.00 / $5,430.00	Facility		$1,017.00	$2,728.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $2,352.00 / $10,073.00	Professional		$1,017.00	$2,352.00	$10,073.00
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