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 $724.44 / $891.25 / $1,819.70	Professional		$724.44	$891.25	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,244.36 / $16,218.10	Facility		$4,265.80	$7,244.36	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,621.81	Professional		$1,023.29	$1,380.38	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,778.28	Professional		$776.25	$1,230.27	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $3,388.44	Professional		$851.14	$1,380.38	$3,388.44
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 $977.24 / $1,071.52 / $1,174.90	Professional		$977.24	$1,071.52	$1,174.90
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,819.70	Professional		$851.14	$1,071.52	$1,819.70