Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,089.30	Professional		$812.83	$1,096.48	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $19,952.62	Facility		$5,011.87	$6,165.95	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,584.89	Professional		$1,047.13	$1,479.11	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,778.28	Professional		$851.14	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $3,981.07	Professional		$741.31	$1,348.96	$3,981.07
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 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
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 $1,584.89 / $4,365.16 / $9,332.54	Facility		$1,584.89	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80