Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $7,762.47	Facility		$1,202.26	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,454.71	Professional		$1,047.13	$1,445.44	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $25,703.96	Facility		$5,011.87	$6,165.95	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,137.96	Professional		$1,380.38	$1,949.84	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,344.23	Professional		$1,122.02	$1,621.81	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $5,623.41	Professional		$977.24	$1,819.70	$5,623.41
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 $1,445.44 / $1,479.11 / $1,584.89	Professional		$1,445.44	$1,479.11	$1,584.89
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 $1,023.29 / $1,380.38 / $2,344.23	Professional		$1,023.29	$1,380.38	$2,344.23