Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,905.46	Professional		$724.44	$933.25	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $16,982.44	Facility		$3,981.07	$4,897.79	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $1,659.59	Professional		$954.99	$1,412.54	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,862.09	Professional		$794.33	$1,258.93	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,801.89	Professional		$870.96	$1,412.54	$3,801.89
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 $1,000.00 / $1,096.48 / $1,202.26	Professional		$1,000.00	$1,096.48	$1,202.26
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,905.46	Professional		$891.25	$1,122.02	$1,905.46