Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,715.35 / $9,772.37	Facility		$1,047.13	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,630.27	Professional		$933.25	$1,148.15	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $22,908.68	Facility		$7,413.10	$8,912.51	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,089.30	Professional		$1,230.27	$1,698.24	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,187.76	Professional		$954.99	$1,445.44	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $5,623.41	Professional		$1,096.48	$1,737.80	$5,623.41
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 $1,230.27 / $1,288.25 / $1,412.54	Professional		$1,230.27	$1,288.25	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,089.30	Professional		$954.99	$1,288.25	$2,089.30