Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,090.30 / $8,511.38	Facility		$1,096.48	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,089.30	Professional		$933.25	$1,096.48	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,128.31 / $15,848.93	Facility		$4,466.84	$8,128.31	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,548.82	Professional		$1,096.48	$1,318.26	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,905.46	Professional		$977.24	$1,380.38	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $4,786.30	Professional		$891.25	$1,479.11	$4,786.30
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 $977.24 / $1,148.15 / $1,288.25	Professional		$977.24	$1,148.15	$1,288.25
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 $2,570.40 / $6,456.54 / $14,791.08	Facility		$2,570.40	$6,456.54	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,089.30	Professional		$933.25	$1,380.38	$2,089.30