Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,137.96	Professional		$776.25	$1,000.00	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $20,892.96	Facility		$4,168.69	$5,128.61	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,905.46	Professional		$1,122.02	$1,548.82	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,905.46	Professional		$851.14	$1,288.25	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $4,073.80	Professional		$1,000.00	$1,584.89	$4,073.80
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 $1,096.48 / $1,174.90 / $1,318.26	Professional		$1,096.48	$1,174.90	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $13,803.84	Facility		$2,570.40	$6,165.95	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,949.84	Professional		$851.14	$1,122.02	$1,949.84