Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $10,232.93	Facility		$1,096.48	$4,265.80	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,951.21	Professional		$831.76	$1,288.25	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $21,379.62	Facility		$3,090.30	$4,073.80	$21,379.62
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 / $1,318.26 / $1,862.09	Professional		$954.99	$1,318.26	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,981.07	Professional		$794.33	$1,445.44	$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 $1,174.90 / $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 $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 $831.76 / $1,096.48 / $1,862.09	Professional		$831.76	$1,096.48	$1,862.09