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 $794.33 / $933.25 / $2,041.74	Professional		$794.33	$933.25	$2,041.74
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 / $1,096.48 / $1,862.09	Professional		$1,096.48	$1,096.48	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,905.46	Professional		$851.14	$1,288.25	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $4,786.30	Professional		$977.24	$1,548.82	$4,786.30
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 / $1,288.25	Professional		$1,047.13	$1,148.15	$1,288.25
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 $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,862.09	Professional		$812.83	$1,096.48	$1,862.09