Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $8,912.51	Facility		$1,202.26	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,398.83	Professional		$977.24	$1,258.93	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $21,877.62	Facility		$5,370.32	$8,511.38	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $2,187.76	Professional		$812.83	$1,479.11	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $4,466.84	Professional		$1,023.29	$1,698.24	$4,466.84
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 $1,288.25 / $1,348.96 / $1,479.11	Professional		$1,288.25	$1,348.96	$1,479.11
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 $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 $1,000.00 / $1,318.26 / $2,238.72	Professional		$1,000.00	$1,318.26	$2,238.72