Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $14,454.40	Facility		$1,148.15	$4,677.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,630.27	Professional		$933.25	$1,096.48	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $19,054.61	Facility		$7,244.36	$8,912.51	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,778.28	Professional		$1,071.52	$1,412.54	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $1,995.26	Professional		$933.25	$1,348.96	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $4,570.88	Professional		$977.24	$1,584.89	$4,570.88
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 $1,174.90 / $1,288.25 / $1,412.54	Professional		$1,174.90	$1,288.25	$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 $2,238.72 / $5,495.41 / $12,302.69	Facility		$2,238.72	$5,495.41	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,187.76	Professional		$912.01	$1,230.27	$2,187.76