Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $7,762.47	Facility		$1,000.00	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,621.81	Professional		$630.96	$831.76	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,332.54 / $17,782.79	Facility		$3,467.37	$9,332.54	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,288.25	Professional		$831.76	$1,202.26	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $1,513.56	Professional		$549.54	$977.24	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $3,162.28	Professional		$707.95	$1,122.02	$3,162.28
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 $831.76 / $870.96 / $954.99	Professional		$831.76	$870.96	$954.99
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 $707.95 / $2,137.96 / $4,570.88	Facility		$707.95	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,513.56	Professional		$691.83	$891.25	$1,513.56