Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $3,024.00	Facility		$2,304.00	$2,304.00	$3,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,304.00 / $2,448.00	Professional		$2,304.00	$2,304.00	$2,448.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,419.19 / $2,419.19 / $2,419.19	Professional		$2,419.19	$2,419.19	$2,419.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $2,647.20 / $3,343.20	Professional		$345.40	$2,647.20	$3,343.20
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 $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,592.00	Professional		$2,400.00	$2,400.00	$2,592.00