Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,862.09	Professional		$776.25	$954.99	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,762.47 / $19,952.62	Facility		$4,897.79	$7,762.47	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,737.80	Professional		$776.25	$1,202.26	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $3,715.35	Professional		$851.14	$1,380.38	$3,715.35
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 $1,000.00 / $1,047.13 / $1,148.15	Professional		$1,000.00	$1,047.13	$1,148.15
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 $1,698.24 / $4,365.16 / $9,772.37	Facility		$1,698.24	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,819.70	Professional		$831.76	$1,148.15	$1,819.70