Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $7,762.47	Facility		$1,047.13	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,949.84	Professional		$912.01	$1,122.02	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $20,892.96	Facility		$4,365.16	$5,248.07	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $1,949.84	Professional		$1,174.90	$1,737.80	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,949.84	Professional		$870.96	$1,348.96	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $5,495.41	Professional		$954.99	$1,548.82	$5,495.41
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 $1,122.02 / $1,174.90 / $1,288.25	Professional		$1,122.02	$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 / $9,332.54	Facility		$1,698.24	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,041.74	Professional		$977.24	$1,230.27	$2,041.74