Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $14,125.38	Facility		$1,148.15	$4,265.80	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,778.28	Professional		$794.33	$1,000.00	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $22,908.68	Facility		$4,466.84	$12,022.64	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,778.28	Professional		$1,023.29	$1,513.56	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,949.84	Professional		$851.14	$1,348.96	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,981.07	Professional		$933.25	$1,513.56	$3,981.07
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 $1,071.52 / $1,174.90 / $1,288.25	Professional		$1,071.52	$1,174.90	$1,288.25
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 $933.25 / $1,202.26 / $1,995.26	Professional		$933.25	$1,202.26	$1,995.26