Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,884.03 / $7,762.47	Facility		$1,096.48	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,137.96	Professional		$912.01	$1,148.15	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $20,892.96	Facility		$2,951.21	$3,981.07	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,698.24	Professional		$1,096.48	$1,548.82	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,905.46	Professional		$954.99	$1,288.25	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $4,570.88	Professional		$794.33	$1,479.11	$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 $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
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 $151.36 / $1,023.29 / $3,388.44	Facility		$151.36	$1,023.29	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,949.84	Professional		$870.96	$1,148.15	$1,949.84