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 $724.44 / $912.01 / $1,949.84	Professional		$724.44	$912.01	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $19,054.61	Facility		$4,168.69	$5,128.61	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,778.28	Professional		$1,047.13	$1,445.44	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,819.70	Professional		$794.33	$1,230.27	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $3,715.35	Professional		$933.25	$1,479.11	$3,715.35
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 $1,023.29 / $1,096.48 / $1,230.27	Professional		$1,023.29	$1,096.48	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $14,454.40	Facility		$1,778.28	$7,079.46	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,778.28	Professional		$776.25	$1,047.13	$1,778.28