Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $7,762.47	Facility		$1,023.29	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,737.80	Professional		$724.44	$891.25	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $16,595.87	Facility		$3,715.35	$4,466.84	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,288.25	Professional		$812.83	$1,071.52	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,778.28	Professional		$758.58	$1,148.15	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $4,168.69	Professional		$851.14	$1,380.38	$4,168.69
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 / $1,096.48 / $1,230.27	Professional		$1,047.13	$1,096.48	$1,230.27
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 $776.25 / $1,047.13 / $1,862.09	Professional		$776.25	$1,047.13	$1,862.09