Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $9,772.37	Facility		$1,122.02	$3,890.45	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,089.30	Professional		$794.33	$977.24	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $19,952.62	Facility		$8,912.51	$10,471.29	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,862.09	Professional		$1,096.48	$1,513.56	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,905.46	Professional		$891.25	$1,318.26	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $3,890.45	Professional		$954.99	$1,621.81	$3,890.45
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 / $1,148.15 / $1,258.93	Professional		$1,047.13	$1,148.15	$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 $1,445.44 / $6,025.60 / $13,803.84	Facility		$1,445.44	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,905.46	Professional		$831.76	$1,148.15	$1,905.46