Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $11,481.54	Facility		$1,148.15	$3,981.07	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,187.76	Professional		$912.01	$1,096.48	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,912.51 / $22,908.68	Facility		$5,623.41	$8,912.51	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,041.74	Professional		$1,096.48	$1,905.46	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,041.74	Professional		$851.14	$1,380.38	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $4,265.80	Professional		$977.24	$1,584.89	$4,265.80
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 $1,148.15 / $1,230.27 / $1,318.26	Professional		$1,148.15	$1,230.27	$1,318.26
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 $2,570.40 / $6,456.54 / $15,488.17	Facility		$2,570.40	$6,456.54	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,137.96	Professional		$977.24	$1,318.26	$2,137.96