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 $758.58 / $933.25 / $2,137.96	Professional		$758.58	$933.25	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $17,378.01	Facility		$3,715.35	$4,466.84	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,621.81	Professional		$1,122.02	$1,348.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,905.46	Professional		$794.33	$1,230.27	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $4,365.16	Professional		$912.01	$1,445.44	$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 / $1,318.26	Professional		$1,096.48	$1,174.90	$1,318.26
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 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,949.84	Professional		$812.83	$1,096.48	$1,949.84