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 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,995.26	Professional		$758.58	$954.99	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $19,952.62	Facility		$4,168.69	$5,128.61	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $1,819.70	Professional		$1,071.52	$1,513.56	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,862.09	Professional		$831.76	$1,258.93	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $6,025.60	Professional		$954.99	$1,513.56	$6,025.60
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 $1,047.13 / $1,122.02 / $1,258.93	Professional		$1,047.13	$1,122.02	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,819.70	Professional		$812.83	$1,071.52	$1,819.70