Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,905.46	Professional		$741.31	$1,000.00	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $18,197.01	Facility		$5,011.87	$6,165.95	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,621.81	Professional		$776.25	$1,096.48	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $3,715.35	Professional		$676.08	$1,230.27	$3,715.35
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 $1,000.00 / $1,023.29 / $1,096.48	Professional		$1,000.00	$1,023.29	$1,096.48
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 $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,584.89	Professional		$691.83	$933.25	$1,584.89