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 $812.83 / $954.99 / $1,995.26	Professional		$812.83	$954.99	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $20,417.38	Facility		$7,244.36	$8,912.51	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,862.09	Professional		$1,096.48	$1,513.56	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,905.46	Professional		$851.14	$1,258.93	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $13,182.57	Professional		$977.24	$1,548.82	$13,182.57
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 / $1,148.15 / $1,288.25	Professional		$1,071.52	$1,148.15	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,905.46	Professional		$812.83	$1,096.48	$1,905.46