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 / $8,511.38	Facility		$1,000.00	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,089.30	Professional		$831.76	$1,000.00	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $21,379.62	Facility		$4,168.69	$5,128.61	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,041.74	Professional		$912.01	$1,380.38	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $5,370.32	Professional		$1,047.13	$1,659.59	$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 $1,122.02 / $1,230.27 / $1,380.38	Professional		$1,122.02	$1,230.27	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $21,877.62	Facility		$1,949.84	$7,943.28	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,995.26	Professional		$870.96	$1,148.15	$1,995.26