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 / $1,096.48 / $2,290.87	Professional		$851.14	$1,096.48	$2,290.87
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 $1,348.96 / $1,737.80 / $1,949.84	Professional		$1,348.96	$1,737.80	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,089.30	Professional		$870.96	$1,445.44	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $4,570.88	Professional		$1,047.13	$1,778.28	$4,570.88
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 $1,122.02 / $1,318.26 / $1,513.56	Professional		$1,122.02	$1,318.26	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $234.42	Professional		$32.36	$32.36	$234.42
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 $912.01 / $1,230.27 / $2,137.96	Professional		$912.01	$1,230.27	$2,137.96