Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $8,511.38	Facility		$1,047.13	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,238.72	Professional		$933.25	$1,174.90	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,803.84 / $26,915.35	Facility		$5,128.61	$13,803.84	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,089.30	Professional		$1,288.25	$1,737.80	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,290.87	Professional		$977.24	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $4,570.88	Professional		$1,096.48	$1,737.80	$4,570.88
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 $1,288.25 / $1,348.96 / $1,479.11	Professional		$1,288.25	$1,348.96	$1,479.11
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,290.87	Professional		$1,047.13	$1,348.96	$2,290.87