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 / $954.99 / $1,949.84	Professional		$776.25	$954.99	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $19,498.45	Facility		$8,912.51	$10,471.29	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,819.70	Professional		$1,071.52	$1,479.11	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,862.09	Professional		$870.96	$1,288.25	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $3,890.45	Professional		$954.99	$1,584.89	$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 $1,023.29 / $1,122.02 / $1,258.93	Professional		$1,023.29	$1,122.02	$1,258.93
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,905.46	Professional		$812.83	$1,122.02	$1,905.46