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 $851.14 / $1,071.52 / $2,238.72	Professional		$851.14	$1,071.52	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,803.84 / $26,302.68	Facility		$5,128.61	$13,803.84	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $1,949.84	Professional		$1,174.90	$1,778.28	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,187.76	Professional		$891.25	$1,513.56	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $4,073.80	Professional		$1,023.29	$1,698.24	$4,073.80
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 $1,096.48 / $1,318.26 / $1,513.56	Professional		$1,096.48	$1,318.26	$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 $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 $1,023.29 / $1,348.96 / $2,290.87	Professional		$1,023.29	$1,348.96	$2,290.87