Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,168.69 / $9,772.37	Facility		$1,202.26	$4,168.69	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $2,951.21	Professional		$776.25	$1,288.25	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $12,589.25	Facility		$9,332.54	$10,471.29	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,951.21	Professional		$2,137.96	$2,137.96	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,511.89	Professional		$1,096.48	$1,905.46	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $6,309.57	Professional		$1,737.80	$3,235.94	$6,309.57
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 $1,862.09 / $2,089.30 / $2,454.71	Professional		$1,862.09	$2,089.30	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,754.23	Professional		$2,570.40	$2,570.40	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $16,982.44	Facility		$2,570.40	$6,165.95	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $2,884.03	Professional		$707.95	$1,202.26	$2,884.03