Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $7,762.47	Facility		$1,047.13	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,187.76	Professional		$870.96	$1,047.13	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $22,387.21	Facility		$2,089.30	$2,754.23	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,089.30	Professional		$1,230.27	$1,698.24	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,089.30	Professional		$954.99	$1,412.54	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $5,370.32	Professional		$1,096.48	$1,862.09	$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 $1,174.90 / $1,288.25 / $1,445.44	Professional		$1,174.90	$1,288.25	$1,445.44
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 $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,089.30	Professional		$912.01	$1,202.26	$2,089.30