Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.13 / $1,476.00 / $5,389.00	Facility		$654.13	$1,476.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $607.24 / $752.15	Professional		$227.51	$607.24	$752.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.65 / $784.60 / $1,012.20	Facility		$657.65	$784.60	$1,012.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $646.73	Professional		$540.82	$540.82	$646.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.30 / $600.74 / $962.38	Professional		$464.30	$600.74	$962.38
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $665.20 / $666.26 / $780.96	Professional		$665.20	$666.26	$780.96
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 $553.00 / $1,905.00 / $4,342.00	Facility		$553.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.66 / $810.67 / $1,337.88	Professional		$492.66	$810.67	$1,337.88