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 $831.76 / $1,023.29 / $1,698.24	Professional		$831.76	$1,023.29	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,549.93 / $18,620.87	Facility		$3,548.13	$9,549.93	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,698.24	Professional		$1,000.00	$1,202.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,819.70	Professional		$891.25	$1,258.93	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $4,570.88	Professional		$812.83	$1,412.54	$4,570.88
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 $912.01 / $1,047.13 / $1,174.90	Professional		$912.01	$1,047.13	$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 $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 $870.96 / $1,318.26 / $1,949.84	Professional		$870.96	$1,318.26	$1,949.84