Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $7,762.47	Facility		$1,071.52	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,137.96	Professional		$851.14	$1,148.15	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $20,417.38	Facility		$5,011.87	$6,165.95	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $1,659.59	Professional		$1,071.52	$1,548.82	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,819.70	Professional		$891.25	$1,288.25	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $4,265.80	Professional		$776.25	$1,412.54	$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 / $1,148.15 / $1,258.93	Professional		$1,148.15	$1,148.15	$1,258.93
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 $812.83 / $1,071.52 / $1,819.70	Professional		$812.83	$1,071.52	$1,819.70