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 $645.65 / $758.58 / $1,548.82	Professional		$645.65	$758.58	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $14,791.08	Facility		$3,715.35	$4,466.84	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,380.38	Professional		$954.99	$1,148.15	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,584.89	Professional		$660.69	$1,047.13	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,630.78	Professional		$776.25	$1,230.27	$3,630.78
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 $933.25 / $1,000.00 / $1,122.02	Professional		$933.25	$1,000.00	$1,122.02
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 / $2,398.83 / $5,128.61	Facility		$1,174.90	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,621.81	Professional		$676.08	$912.01	$1,621.81