Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $9,772.37	Facility		$1,122.02	$4,168.69	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,862.09	Professional		$794.33	$1,023.29	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,309.57 / $18,197.01	Facility		$5,128.61	$6,309.57	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,513.56	Professional		$954.99	$1,380.38	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,659.59	Professional		$831.76	$1,174.90	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,288.25 / $4,168.69	Professional		$691.83	$1,288.25	$4,168.69
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 $1,023.29 / $1,023.29 / $1,122.02	Professional		$1,023.29	$1,023.29	$1,122.02
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 $1,174.90 / $3,630.78 / $7,244.36	Facility		$1,174.90	$3,630.78	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,698.24	Professional		$776.25	$1,000.00	$1,698.24