Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $9,772.37	Facility		$1,023.29	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,862.09	Professional		$724.44	$891.25	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,244.36 / $16,218.10	Facility		$4,073.80	$7,244.36	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,621.81	Professional		$1,023.29	$1,348.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,778.28	Professional		$758.58	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $6,760.83	Professional		$831.76	$1,380.38	$6,760.83
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 / $1,047.13 / $1,148.15	Professional		$977.24	$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 $851.14 / $1,096.48 / $1,819.70	Professional		$851.14	$1,096.48	$1,819.70