Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,137.96	Professional		$870.96	$1,071.52	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $14,791.08 / $28,183.83	Facility		$5,495.41	$14,791.08	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $1,995.26	Professional		$1,148.15	$1,819.70	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,949.84	Professional		$851.14	$1,348.96	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $4,073.80	Professional		$954.99	$1,548.82	$4,073.80
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 / $1,288.25	Professional		$1,096.48	$1,174.90	$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 $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 $933.25 / $1,258.93 / $2,041.74	Professional		$933.25	$1,258.93	$2,041.74