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 / $8,511.38	Facility		$1,071.52	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,041.74	Professional		$933.25	$1,148.15	$2,041.74
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 / $1,778.28 / $2,041.74	Professional		$1,288.25	$1,778.28	$2,041.74
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 / $1,737.80 / $4,677.35	Professional		$1,071.52	$1,737.80	$4,677.35
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 $1,230.27 / $1,348.96 / $1,479.11	Professional		$1,230.27	$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 $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