Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,905.46	Professional		$776.25	$1,000.00	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $17,378.01	Facility		$3,890.45	$4,786.30	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,778.28	Professional		$707.95	$1,230.27	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $4,466.84	Professional		$870.96	$1,380.38	$4,466.84
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 $1,023.29 / $1,071.52 / $1,174.90	Professional		$1,023.29	$1,071.52	$1,174.90
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,819.70	Professional		$812.83	$1,071.52	$1,819.70