Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,548.13 / $8,912.51	Facility		$1,071.52	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,691.53	Professional		$912.01	$1,122.02	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $23,442.29	Facility		$8,912.51	$10,964.78	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,570.40	Professional		$1,288.25	$1,778.28	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,187.76	Professional		$1,023.29	$1,513.56	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $7,079.46	Professional		$1,122.02	$1,819.70	$7,079.46
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 $1,148.15 / $1,318.26 / $1,479.11	Professional		$1,148.15	$1,318.26	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,187.76	Professional		$977.24	$1,318.26	$2,187.76