Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $14,125.38	Facility		$1,148.15	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,089.30	Professional		$912.01	$1,122.02	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,511.38 / $19,498.45	Facility		$4,786.30	$8,511.38	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,862.09	Professional		$1,202.26	$1,621.81	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,187.76	Professional		$933.25	$1,479.11	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $5,754.40	Professional		$1,023.29	$1,659.59	$5,754.40
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 $1,202.26 / $1,288.25 / $1,412.54	Professional		$1,202.26	$1,288.25	$1,412.54
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 $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,187.76	Professional		$1,023.29	$1,318.26	$2,187.76