Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,344.23	Professional		$758.58	$954.99	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $19,054.61	Facility		$8,912.51	$10,471.29	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,737.80	Professional		$1,047.13	$1,445.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,778.28	Professional		$812.83	$1,230.27	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,715.35	Professional		$912.01	$1,445.44	$3,715.35
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 $1,000.00 / $1,096.48 / $1,202.26	Professional		$1,000.00	$1,096.48	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $912.01	Professional		$32.36	$33.11	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,778.28	Professional		$776.25	$1,047.13	$1,778.28