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 $870.96 / $1,047.13 / $1,949.84	Professional		$870.96	$1,047.13	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $14,791.08 / $28,183.83	Facility		$5,495.41	$14,791.08	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,949.84	Professional		$831.76	$1,318.26	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $4,786.30	Professional		$954.99	$1,513.56	$4,786.30
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 $1,096.48 / $1,174.90 / $1,288.25	Professional		$1,096.48	$1,174.90	$1,288.25
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 $933.25 / $1,258.93 / $2,041.74	Professional		$933.25	$1,258.93	$2,041.74