Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $8,511.38	Facility		$1,047.13	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,041.74	Professional		$954.99	$1,122.02	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $16,218.10 / $31,622.78	Facility		$6,025.60	$16,218.10	$31,622.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,137.96	Professional		$912.01	$1,479.11	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $4,466.84	Professional		$1,047.13	$1,698.24	$4,466.84
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 $1,230.27 / $1,288.25 / $1,412.54	Professional		$1,230.27	$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 $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 / $1,412.54 / $2,238.72	Professional		$1,023.29	$1,412.54	$2,238.72