Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $7,762.47	Facility		$1,202.26	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,137.96	Professional		$954.99	$1,230.27	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,511.38 / $21,379.62	Facility		$5,248.07	$8,511.38	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $1,905.46	Professional		$1,122.02	$1,819.70	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,445.44 / $2,041.74	Professional		$707.95	$1,445.44	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,659.59 / $3,715.35	Professional		$794.33	$1,659.59	$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 $1,258.93 / $1,288.25 / $1,445.44	Professional		$1,258.93	$1,288.25	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $7,585.78	Facility		$1,288.25	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,137.96	Professional		$912.01	$1,230.27	$2,137.96