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 $851.14 / $1,023.29 / $1,995.26	Professional		$851.14	$1,023.29	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $19,952.62	Facility		$4,570.88	$5,495.41	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,862.09	Professional		$1,288.25	$1,513.56	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,089.30	Professional		$891.25	$1,348.96	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $4,786.30	Professional		$1,023.29	$1,659.59	$4,786.30
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 $1,258.93 / $1,348.96 / $1,479.11	Professional		$1,258.93	$1,348.96	$1,479.11
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,089.30	Professional		$891.25	$1,174.90	$2,089.30