Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $9,772.37	Facility		$1,071.52	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,089.30	Professional		$933.25	$1,148.15	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $14,125.38 / $26,915.35	Facility		$5,248.07	$14,125.38	$26,915.35
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 $1,071.52 / $1,778.28 / $6,025.60	Professional		$1,071.52	$1,778.28	$6,025.60
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 $1,258.93 / $1,348.96 / $1,513.56	Professional		$1,258.93	$1,348.96	$1,513.56
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 $1,584.89 / $4,265.80 / $8,128.31	Facility		$1,584.89	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,344.23	Professional		$1,071.52	$1,380.38	$2,344.23