Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $8,912.51	Facility		$1,122.02	$3,715.35	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,905.46	Professional		$912.01	$1,122.02	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $18,620.87 / $24,547.09	Facility		$11,481.54	$18,620.87	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,238.72	Professional		$1,023.29	$1,513.56	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,715.35	Professional		$1,071.52	$1,778.28	$3,715.35
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 $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,479.11	Professional		$1,380.38	$1,380.38	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,079.46 / $16,982.44	Facility		$1,778.28	$7,079.46	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,187.76	Professional		$891.25	$1,258.93	$2,187.76