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 / $9,332.54	Facility		$1,023.29	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,454.71	Professional		$831.76	$1,047.13	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $21,877.62	Facility		$4,168.69	$5,128.61	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,995.26	Professional		$1,174.90	$1,621.81	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,041.74	Professional		$891.25	$1,348.96	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $5,370.32	Professional		$1,047.13	$1,659.59	$5,370.32
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 / $1,230.27 / $1,380.38	Professional		$1,148.15	$1,230.27	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
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 $870.96 / $1,148.15 / $1,949.84	Professional		$870.96	$1,148.15	$1,949.84