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 $741.31 / $870.96 / $1,737.80	Professional		$741.31	$870.96	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $16,982.44	Facility		$3,715.35	$4,466.84	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Professional		$977.24	$1,548.82	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,737.80	Professional		$776.25	$1,174.90	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $4,168.69	Professional		$870.96	$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 $1,071.52 / $1,122.02 / $1,258.93	Professional		$1,071.52	$1,122.02	$1,258.93
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 / $1,071.52 / $1,862.09	Professional		$776.25	$1,071.52	$1,862.09