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 $812.83 / $1,318.26 / $1,412.54	Professional		$812.83	$1,318.26	$1,412.54
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 $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,884.03	Professional		$1,258.93	$1,778.28	$2,884.03