Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,698.24	Professional		$776.25	$933.25	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $14,125.38	Facility		$4,265.80	$8,511.38	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $5,623.41	Facility		$398.11	$588.84	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $1,905.46	Professional		$660.69	$1,122.02	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $4,168.69	Professional		$891.25	$1,548.82	$4,168.69
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 $1,000.00 / $1,047.13 / $1,148.15	Professional		$1,000.00	$1,047.13	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $12,302.69	Facility		$1,905.46	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,698.24	Professional		$776.25	$1,071.52	$1,698.24