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 $933.25 / $1,071.52 / $2,089.30	Professional		$933.25	$1,071.52	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $29,512.09	Facility		$5,754.40	$15,488.17	$29,512.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,041.74	Professional		$870.96	$1,380.38	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $4,265.80	Professional		$1,000.00	$1,621.81	$4,265.80
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 $1,148.15 / $1,230.27 / $1,348.96	Professional		$1,148.15	$1,230.27	$1,348.96
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 $1,000.00 / $1,318.26 / $2,137.96	Professional		$1,000.00	$1,318.26	$2,137.96