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 $1,122.02 / $1,479.11 / $3,162.28	Professional		$1,122.02	$1,479.11	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,709.64 / $25,118.86	Facility		$6,165.95	$8,709.64	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,290.87	Professional		$1,479.11	$2,137.96	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,951.21	Professional		$977.24	$1,737.80	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $6,760.83	Professional		$1,258.93	$1,995.26	$6,760.83
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 $1,479.11 / $1,548.82 / $1,698.24	Professional		$1,479.11	$1,548.82	$1,698.24
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 $1,202.26 / $1,621.81 / $2,630.27	Professional		$1,202.26	$1,621.81	$2,630.27