Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,862.09	Professional		$870.96	$1,071.52	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,943.28 / $22,387.21	Facility		$5,495.41	$7,943.28	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $2,137.96	Professional		$1,047.13	$1,819.70	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,949.84	Professional		$851.14	$1,318.26	$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 $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 $933.25 / $1,258.93 / $2,041.74	Professional		$933.25	$1,258.93	$2,041.74