Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,548.13 / $9,772.37	Facility		$1,148.15	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,454.71	Professional		$977.24	$1,174.90	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,495.41 / $25,118.86	Facility		$4,168.69	$5,495.41	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,290.87	Professional		$1,348.96	$1,905.46	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,344.23	Professional		$1,047.13	$1,621.81	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $7,585.78	Professional		$1,202.26	$1,905.46	$7,585.78
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 $1,318.26 / $1,412.54 / $1,584.89	Professional		$1,318.26	$1,412.54	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $9,332.54	Facility		$1,412.54	$4,897.79	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,344.23	Professional		$1,023.29	$1,348.96	$2,344.23