Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,380.38	Professional		$478.63	$630.96	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $13,489.63	Facility		$6,025.60	$10,471.29	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,122.02	Professional		$676.08	$933.25	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,174.90	Professional		$524.81	$812.83	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $3,311.31	Professional		$588.84	$954.99	$3,311.31
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 $588.84 / $691.83 / $776.25	Professional		$588.84	$691.83	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
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 $512.86 / $724.44 / $1,202.26	Professional		$512.86	$724.44	$1,202.26