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 $831.76 / $1,023.29 / $2,041.74	Professional		$831.76	$1,023.29	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $14,125.38 / $26,915.35	Facility		$5,248.07	$14,125.38	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,344.23	Professional		$1,000.00	$1,737.80	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,862.09	Professional		$794.33	$1,258.93	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,890.45	Professional		$912.01	$1,445.44	$3,890.45
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 $1,047.13 / $1,122.02 / $1,230.27	Professional		$1,047.13	$1,122.02	$1,230.27
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 $891.25 / $1,202.26 / $1,949.84	Professional		$891.25	$1,202.26	$1,949.84