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 $776.25 / $1,258.93 / $1,412.54	Professional		$776.25	$1,258.93	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $12,589.25	Facility		$9,332.54	$10,471.29	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,698.24	Professional		$691.83	$776.25	$1,698.24
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 $1,584.89 / $5,495.41 / $9,772.37	Facility		$1,584.89	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $2,290.87	Professional		$645.65	$1,047.13	$2,290.87