Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $8,511.38	Facility		$977.24	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,949.84	Professional		$812.83	$1,023.29	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $13,803.84	Facility		$1,949.84	$2,454.71	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,905.46	Professional		$870.96	$1,258.93	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $4,365.16	Professional		$776.25	$1,288.25	$4,365.16
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 $851.14 / $1,023.29 / $1,148.15	Professional		$851.14	$1,023.29	$1,148.15
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 $660.69 / $1,479.11 / $4,168.69	Facility		$660.69	$1,479.11	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,041.74	Professional		$891.25	$1,258.93	$2,041.74