Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $5,888.44	Facility		$1,071.52	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,995.26	Professional		$891.25	$1,174.90	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $19,952.62	Facility		$5,011.87	$8,511.38	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,137.96	Professional		$912.01	$1,380.38	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $4,365.16	Professional		$1,023.29	$1,621.81	$4,365.16
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 $1,202.26 / $1,258.93 / $1,380.38	Professional		$1,202.26	$1,258.93	$1,380.38
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 $977.24 / $1,288.25 / $2,089.30	Professional		$977.24	$1,288.25	$2,089.30