Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,762.47	Facility		$1,000.00	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,445.44	Professional		$588.84	$724.44	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $15,135.61	Facility		$3,890.45	$7,762.47	$15,135.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,318.26	Professional		$562.34	$912.01	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,818.38	Professional		$645.65	$1,047.13	$2,818.38
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 $758.58 / $794.33 / $870.96	Professional		$758.58	$794.33	$870.96
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 $1,288.25 / $4,265.80 / $7,585.78	Facility		$1,288.25	$4,265.80	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,380.38	Professional		$630.96	$851.14	$1,380.38