Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $14,125.38	Facility		$1,148.15	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,137.96	Professional		$812.83	$1,023.29	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $17,378.01	Facility		$4,265.80	$8,511.38	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,659.59	Professional		$1,071.52	$1,445.44	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,949.84	Professional		$831.76	$1,318.26	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $5,495.41	Professional		$912.01	$1,479.11	$5,495.41
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 $1,096.48 / $1,148.15 / $1,258.93	Professional		$1,096.48	$1,148.15	$1,258.93
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 $912.01 / $1,202.26 / $1,949.84	Professional		$912.01	$1,202.26	$1,949.84