Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,715.35 / $9,772.37	Facility		$1,230.27	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,570.40	Professional		$954.99	$1,230.27	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $26,915.35	Facility		$9,120.11	$10,964.78	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,454.71	Professional		$1,513.56	$2,089.30	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,398.83	Professional		$1,023.29	$1,621.81	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $4,897.79	Professional		$1,230.27	$1,995.26	$4,897.79
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 / $1,513.56 / $1,737.80	Professional		$1,288.25	$1,513.56	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
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 $1,000.00 / $1,348.96 / $2,398.83	Professional		$1,000.00	$1,348.96	$2,398.83