Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $1,545.00 / $2,528.00	Facility		$607.00	$1,545.00	$2,528.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.00 / $1,176.22 / $4,040.65	Facility		$340.00	$1,176.22	$4,040.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $375.00 / $1,675.00	Facility		$300.00	$375.00	$1,675.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $925.00 / $13,940.00	Facility		$100.00	$925.00	$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 $561.00 / $1,010.00 / $1,591.00	Facility		$561.00	$1,010.00	$1,591.00