Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $8,511.38	Facility		$1,122.02	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,344.23	Professional		$891.25	$1,122.02	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $21,877.62	Facility		$4,073.80	$5,128.61	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,090.30	Professional		$1,584.89	$1,584.89	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $2,238.72	Professional		$812.83	$1,584.89	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $4,265.80	Professional		$977.24	$1,778.28	$4,265.80
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 $1,148.15 / $1,380.38 / $1,584.89	Professional		$1,148.15	$1,380.38	$1,584.89
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,398.83	Professional		$954.99	$1,348.96	$2,398.83