Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,168.69 / $9,772.37	Facility		$1,023.29	$4,168.69	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,380.38	Professional		$660.69	$1,071.52	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $18,620.87 / $22,387.21	Facility		$16,595.87	$18,620.87	$22,387.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,412.54	Professional		$691.83	$776.25	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,348.96	Professional		$616.60	$954.99	$1,348.96
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 $758.58 / $794.33 / $891.25	Professional		$758.58	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Professional		$912.01	$912.01	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,079.46 / $16,982.44	Facility		$1,659.59	$7,079.46	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,905.46	Professional		$645.65	$977.24	$1,905.46