Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,121.00 / $1,996.00	Facility		$595.00	$1,121.00	$1,996.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $948.38 / $2,201.63 / $4,550.00	Facility		$948.38	$2,201.63	$4,550.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,500.00 / $3,143.64	Facility		$1,000.00	$1,500.00	$3,143.64
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $200.00 / $13,940.00	Facility		$100.00	$200.00	$13,940.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $1,900.00	Facility		$1,900.00	$1,900.00	$1,900.00
United Facility/Professional Facility Modifier Low / Median / High Price $577.00 / $1,038.00 / $1,508.00	Facility		$577.00	$1,038.00	$1,508.00