Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $7,762.47	Facility		$1,174.90	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,137.96	Professional		$977.24	$1,258.93	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $22,387.21	Facility		$5,011.87	$6,165.95	$22,387.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,089.30	Professional		$977.24	$1,380.38	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $5,011.87	Professional		$851.14	$1,584.89	$5,011.87
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 $1,258.93 / $1,288.25 / $1,380.38	Professional		$1,258.93	$1,288.25	$1,380.38
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 $912.01 / $1,202.26 / $2,041.74	Professional		$912.01	$1,202.26	$2,041.74