Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,511.38	Facility		$954.99	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,041.74	Professional		$758.58	$977.24	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $18,620.87 / $23,988.33	Facility		$10,232.93	$18,620.87	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,819.70	Professional		$831.76	$1,230.27	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $5,128.61	Professional		$1,000.00	$1,621.81	$5,128.61
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 $1,096.48 / $1,202.26 / $1,318.26	Professional		$1,096.48	$1,202.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,905.46	Professional		$794.33	$1,047.13	$1,905.46