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 $776.25 / $1,071.52 / $1,995.26	Professional		$776.25	$1,071.52	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $19,498.45	Facility		$3,090.30	$4,073.80	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,548.82	Professional		$1,000.00	$1,412.54	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,698.24	Professional		$831.76	$1,174.90	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $3,890.45	Professional		$724.44	$1,318.26	$3,890.45
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 $1,071.52 / $1,071.52 / $1,174.90	Professional		$1,071.52	$1,071.52	$1,174.90
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 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,698.24	Professional		$741.31	$1,000.00	$1,698.24