Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.00 / $1,476.00 / $5,389.00	Facility		$762.00	$1,476.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $1,586.40 / $5,389.00	Professional		$130.00	$1,586.40	$5,389.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.10 / $3,261.90 / $4,208.13	Facility		$2,734.10	$3,261.90	$4,208.13
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 $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00