Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,949.84	Professional		$812.83	$1,047.13	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,456.54 / $18,620.87	Facility		$5,128.61	$6,456.54	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,737.80	Professional		$812.83	$1,174.90	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $4,265.80	Professional		$707.95	$1,318.26	$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 $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$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 $1,174.90 / $3,630.78 / $7,244.36	Facility		$1,174.90	$3,630.78	$7,244.36
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