Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,584.89	Professional		$588.84	$758.58	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $13,182.57	Facility		$4,265.80	$8,511.38	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,174.90	Professional		$691.83	$1,096.48	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,348.96	Professional		$524.81	$891.25	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $2,691.53	Professional		$660.69	$1,023.29	$2,691.53
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 / $794.33 / $870.96	Professional		$776.25	$794.33	$870.96
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,348.96	Professional		$602.56	$794.33	$1,348.96