Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,778.28	Professional		$776.25	$891.25	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $17,378.01	Facility		$4,570.88	$5,495.41	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,819.70	Professional		$794.33	$1,230.27	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $4,265.80	Professional		$912.01	$1,445.44	$4,265.80
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 / $1,174.90 / $1,318.26	Professional		$1,096.48	$1,174.90	$1,318.26
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,949.84	Professional		$812.83	$1,096.48	$1,949.84