Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,951.21 / $8,511.38	Facility		$977.24	$2,951.21	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,290.87	Professional		$851.14	$1,122.02	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,589.25 / $23,988.33	Facility		$4,677.35	$12,589.25	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,819.70	Professional		$1,202.26	$1,584.89	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,137.96	Professional		$933.25	$1,412.54	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $4,265.80	Professional		$1,047.13	$1,659.59	$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 $1,174.90 / $1,230.27 / $1,348.96	Professional		$1,174.90	$1,230.27	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $186.21	Professional		$32.36	$32.36	$186.21
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 $891.25 / $1,288.25 / $2,089.30	Professional		$891.25	$1,288.25	$2,089.30