Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $9,772.37	Facility		$1,047.13	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $3,090.30	Professional		$933.25	$1,258.93	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $13,489.63 / $25,703.96	Facility		$5,011.87	$13,489.63	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $2,884.03	Professional		$2,041.74	$2,630.27	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $2,818.38	Professional		$1,148.15	$1,949.84	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $8,912.51	Professional		$1,348.96	$2,570.40	$8,912.51
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 $1,584.89 / $1,949.84 / $2,290.87	Professional		$1,584.89	$1,949.84	$2,290.87
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 $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,398.83	Professional		$1,047.13	$1,513.56	$2,398.83