Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $7,762.47	Facility		$1,000.00	$2,089.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,230.27	Professional		$501.19	$630.96	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $12,022.64	Facility		$3,630.78	$4,365.16	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,122.02	Professional		$776.25	$933.25	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,258.93	Professional		$549.54	$831.76	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,754.23	Professional		$630.96	$1,000.00	$2,754.23
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 $776.25 / $812.83 / $912.01	Professional		$776.25	$812.83	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $5,128.61	Facility		$1,174.90	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,348.96	Professional		$549.54	$724.44	$1,348.96