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 $758.58 / $977.24 / $2,454.71	Professional		$758.58	$977.24	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $20,892.96	Facility		$2,089.30	$2,754.23	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,905.46	Professional		$1,148.15	$1,621.81	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $1,862.09	Professional		$741.31	$1,230.27	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $3,801.89	Professional		$891.25	$1,548.82	$3,801.89
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 $1,023.29 / $1,174.90 / $1,348.96	Professional		$1,023.29	$1,174.90	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,819.70	Professional		$776.25	$1,047.13	$1,819.70