Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $7,762.47	Facility		$1,071.52	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,238.72	Professional		$870.96	$1,096.48	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $23,442.29	Facility		$3,715.35	$5,011.87	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,137.96	Professional		$1,258.93	$1,778.28	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,137.96	Professional		$954.99	$1,445.44	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $4,365.16	Professional		$1,096.48	$1,778.28	$4,365.16
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 $1,174.90 / $1,318.26 / $1,479.11	Professional		$1,174.90	$1,318.26	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $5,128.61	Facility		$1,096.48	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,187.76	Professional		$870.96	$1,202.26	$2,187.76