Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $5,389.00 / $10,428.00	Facility		$1,144.00	$5,389.00	$10,428.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $297.20 / $297.20	Professional		$297.20	$297.20	$297.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,410.13 / $5,934.54 / $20,191.20	Facility		$4,410.13	$5,934.54	$20,191.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $503.45 / $664.94	Professional		$281.08	$503.45	$664.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $6,773.00 / $8,602.00	Facility		$2,060.00	$6,773.00	$8,602.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $7,627.13 / $12,006.30	Professional		$345.40	$7,627.13	$12,006.30
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 $338.79 / $1,500.00 / $2,500.00	Professional		$338.79	$1,500.00	$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
United Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $419.06 / $665.50	Professional		$282.02	$419.06	$665.50