Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $7,762.47	Facility		$1,023.29	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,041.74	Professional		$851.14	$1,047.13	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $28,183.83	Facility		$5,370.32	$14,454.40	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $1,949.84	Professional		$1,122.02	$1,819.70	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,905.46	Professional		$851.14	$1,318.26	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $4,570.88	Professional		$933.25	$1,513.56	$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 $1,096.48 / $1,174.90 / $1,258.93	Professional		$1,096.48	$1,174.90	$1,258.93
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 $1,174.90 / $3,388.44 / $6,165.95	Facility		$1,174.90	$3,388.44	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,995.26	Professional		$912.01	$1,258.93	$1,995.26