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 $645.65 / $812.83 / $1,737.80	Professional		$645.65	$812.83	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,471.29 / $19,952.62	Facility		$3,890.45	$10,471.29	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,238.72	Professional		$1,148.15	$1,148.15	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,698.24	Professional		$707.95	$1,148.15	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $3,162.28	Professional		$776.25	$1,258.93	$3,162.28
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 $851.14 / $1,000.00 / $1,148.15	Professional		$851.14	$1,000.00	$1,148.15
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 $776.25 / $1,023.29 / $1,737.80	Professional		$776.25	$1,023.29	$1,737.80