Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $9,772.37	Facility		$1,096.48	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,511.89	Professional		$1,000.00	$1,202.26	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $8,912.51 / $23,988.33	Facility		$7,413.10	$8,912.51	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $1,949.84	Professional		$1,412.54	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,344.23	Professional		$1,047.13	$1,548.82	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $6,025.60	Professional		$1,174.90	$1,862.09	$6,025.60
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 $1,288.25 / $1,380.38 / $1,513.56	Professional		$1,288.25	$1,380.38	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $13,803.84	Facility		$1,445.44	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,290.87	Professional		$1,000.00	$1,380.38	$2,290.87