Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,238.72	Professional		$812.83	$1,047.13	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $21,379.62	Facility		$4,168.69	$5,128.61	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $1,905.46	Professional		$1,148.15	$1,584.89	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,090.30	Professional		$1,174.90	$1,479.11	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $4,466.84	Professional		$1,000.00	$1,621.81	$4,466.84
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 / $1,202.26 / $1,318.26	Professional		$1,148.15	$1,202.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,949.84	Professional		$831.76	$1,122.02	$1,949.84