Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.33 / $1,882.00 / $5,405.00	Facility		$919.33	$1,882.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.33 / $1,059.20 / $1,487.12	Professional		$919.33	$1,059.20	$1,487.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,679.75 / $23,478.79 / $30,289.70	Facility		$19,679.75	$23,478.79	$30,289.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.87 / $2,158.84 / $3,293.76	Professional		$1,801.87	$2,158.84	$3,293.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.48 / $2,567.12 / $3,949.42	Professional		$1,499.48	$2,567.12	$3,949.42
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 $1,949.32 / $2,168.21 / $2,567.12	Professional		$1,949.32	$2,168.21	$2,567.12
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 $2,339.00 / $11,750.00 / $42,495.00	Facility		$2,339.00	$11,750.00	$42,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.33 / $1,787.54 / $3,691.84	Professional		$1,102.33	$1,787.54	$3,691.84