Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,090.30 / $9,772.37	Facility		$1,000.00	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $2,137.96	Professional		$851.14	$1,023.29	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $21,877.62	Facility		$8,912.51	$10,715.19	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,041.74	Professional		$1,202.26	$1,659.59	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,041.74	Professional		$933.25	$1,380.38	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $5,370.32	Professional		$1,071.52	$1,698.24	$5,370.32
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 $1,148.15 / $1,258.93 / $1,380.38	Professional		$1,148.15	$1,258.93	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,041.74	Professional		$912.01	$1,174.90	$2,041.74