Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $7,762.47	Facility		$1,047.13	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,949.84	Professional		$912.01	$1,071.52	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $20,417.38	Facility		$2,570.40	$3,235.94	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,949.84	Professional		$851.14	$1,348.96	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $4,365.16	Professional		$954.99	$1,513.56	$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 $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 $1,659.59 / $4,365.16 / $8,128.31	Facility		$1,659.59	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,041.74	Professional		$954.99	$1,258.93	$2,041.74