Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $9,772.37	Facility		$1,148.15	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,949.84	Professional		$977.24	$1,202.26	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,481.54 / $21,877.62	Facility		$4,265.80	$11,481.54	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,778.28	Professional		$1,202.26	$1,412.54	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,041.74	Professional		$1,071.52	$1,513.56	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $5,370.32	Professional		$954.99	$1,659.59	$5,370.32
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 $1,071.52 / $1,258.93 / $1,412.54	Professional		$1,071.52	$1,258.93	$1,412.54
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,290.87	Professional		$1,023.29	$1,445.44	$2,290.87