Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,090.30 / $8,511.38	Facility		$1,023.29	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,621.81	Professional		$741.31	$912.01	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,709.64 / $16,595.87	Facility		$3,235.94	$8,709.64	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,584.89	Professional		$812.83	$1,148.15	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $3,630.78	Professional		$691.83	$1,258.93	$3,630.78
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 $812.83 / $954.99 / $1,047.13	Professional		$812.83	$954.99	$1,047.13
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,737.80	Professional		$776.25	$1,148.15	$1,737.80